Left frontal craniotomy.
Minor gliosis in the left frontal lobe at the site of previous surgery.
3.7 cm well-defined anterior midline mass with homogeneous enhancement, in the olfactory groove/planum sphenoidale, the posterior aspect of which abuts the anterior aspect of the sella turcica. Mild underlying hyperostosis of the planum sphenoidale. No bony destruction.
Moderate bilateral perilesional oedema in the frontal lobes, with minor effacement of the frontal horns of the lateral ventricles. The white matter buckling sign is evident.
Identical 2.7 cm right dural based temporal lobe mass, centred on the sphenoid wing, with an enhancing dural tail.
Normal posterior fossa.