Female, 95 years old, with one episode of aphasia, history of meningioma. Assess for changes. A plaque-like extra-axial enhancing lesion is redemonstrated predominantly along the right aspect of the clivus where it measures up to 9 mm in thickness and shows no significant interval growth or expansion. As before, a dural tail associated with this lesion extends to the right internal auditory canal. Superiorly, there is a small contiguous nodular component of the lesion which projects into the suprasellar cistern, also appearing similar to the prior exam. Effacement of the right prepontine cistern and slight flatten of the ventral pons are unchanged. No new intracranial enhancing lesions are seen. Patchy foci of T2 hyperintensity are seen in the periventricular and subcortical white matter of the bilateral cerebral hemispheres and left basal ganglia without significant interval change. No restricted diffusion is seen. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. Ventricles and sulci are mildly and proportionately prominent compatible with volume loss.
1.Stable presumed meningioma along the right aspect of the clivus.2.No change in the appearance of chronic microvascular ischemic disease.3.No new or acute intracranial findings.