57-year-old female with meningioma and seizures, follow-up. Increased T2/FLAIR signal and expansion of the left amygdala without enhancement appears similar to the prior exam. An enhancing extra-axial lesion in the left frontal convexity adjacent to the left inferior frontal gyrus is unchanged in size measuring 1.1 x 0.7 x 1.0 cm. No additional enhancing lesions are identified. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull and scalp soft tissues are grossly unremarkable. There is a left maxillary mucous retention cyst/polyp.
1.Gyral thickening and increased signal in the left amygdala appears similar to the prior exam. While this could still be post ictal in etiology if clinically appropriate, its stability from the prior exam raises the concern for a low-grade infiltrating glioma or encephalitis.2.Left frontal meningioma is stable.