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Four enhancing extra-dural masses are again identified in the posterior fossa, compatible with meningiomata. Three abut the petrous temporal bones (two on the right, one on the left) and the fourth projects inferiorly from the right side of the tentorium cerebelli. The smaller of the two right petrous masses bulges into and largely covers the right internal acoustic meatus, likely resulting in compression of the traversing facial, vestibular and cochlear nerves.
FLAIR hyperintensities scattered within the periventricular and subcortical white matter likely reflect chronic small vessel ischaemia, of a degree commonly seen at this age.