There is an avidly, heterogeneously enhancing extra-axial lesion measuring 33 x 36 x 32 mm ( transverse by AP by cc ) centred in the left parafalcine parietal lobe. The lesion returns intermediate T1 and T2 signal and demonstrates minor restricted diffusion. FLAIR signal hyperintensity extends inferiorly into the left posterior centrum semiovale towards the left periventricular trigone. FLAIR signal abnormality also extends along the parafalcine vertex towards the foot and leg locus of the motor strip. Minimal mass effect is exerted on the adjacent superior sagittal sinus and normal flow in the sinuses is demonstrated on MRV.
There are no remote intra or extra-axial enhancing lesions.
Scattered deep white matter T2 hyperintensity changes are consistent with small vessel ischaemic disease.
The ventricular configuration is unremarkable. Incidental cavum septum pellucidum.
Isolated, left parietal parafalcine enhancing lesion consistent with a meningioma with no mass-effect nor occlusion exerted on the adjacent superior sagittal sinus.