Follow up of meningioma found on imaging. Brain: There is no appreciable change in the enhancing dural-based mass in the right cavernous sinus region that measures up to approximately 25 mm. There has been interval evolution multiple punctate infarcts in the bilateral cerebral hemispheres superimposed upon scattered T2 hyperintense cerebral white matter foci without restricted diffusion. There is a small area of encephalomalacia in the left paramedian pons. There is also patchy T2 hyperintensity in the bilateral cerebellar peduncles. However, there is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.Orbits: There is no evidence of intraorbital mass lesions or abnormal enhancement. The bilateral globes, lacrimal glands, optic nerves, and extraocular muscles are unremarkable.
1. No appreciable change in the right cavernous sinus region mass without orbital extension.2. Interval evolution of multiple cerebral infarcts without evidence of new acute infarction.3. Chronic pontine lacunar infarction appears to be associated with Wallerian degeneration of the bilateral pontocerebellar tracts.