Focal rounded extra-axial enhancing mass is seen in the right temporoparietal region, measuring 35mm AP, 28 mm SI and 24 mm transverse. Irregular enhancement is seen in the adjacent brain. Extensive T2 and FLAIR signal abnormality is seen in the white matter throughout the right cerebral hemisphere. Ex-vacuo dilatation related to an old infarct in the right Corona radiata. Encephalomalacia in the anterolateral aspect of the right temporal lobe related to prior surgery. There is a further enhancing 8 x 8.5mm lobulated nodule in this region.
Conclusion: Recurrent aggressive appearing meningioma-large nodule with possible brain invasion into the right temporoparietal region and smaller nodule anterolaterally in the right middle cranial fossa.