Meninggioma

This is the conclusions of my MRI report, I am interested in fidning out about number 2 and 3, what they mean and what it will mean for me in the future. It looks like meninigioma's have to be treated if they are getting bigger,  and I have beeen hvingI have a severe head ache almost everyday for the past 6 months. My neurologist susspects it has grown, I will be having another MRI soon.

1.Partial absence of posterior body of corpus callosum, likely congenital

2. Nonspecific foci of what matter abnormality within both frontal lobes.

3. Small extra-axial lesion left frontal vertex, likely small calcified meningioma.


thank you

[Esteban Cheng-Ching, MD]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to examine you, obtain a detailed history, and see the images of your MRI, I can not tell you exactly what you have.
However I will try to provide you with some useful information.
Regarding your questions:
-Nonspecific white matter abnormality:
This is commonly seen in patients and attributed to aging. If significant and out of context, meaning very large patches or presenting in young patients, they may represent other conditions, but they are not specific for a disease. They may be caused by previous strokes, or ischemic changes in the brain, they may be caused by demyelinating conditions like multiple sclerosis, or they may be associated with metabolic conditions. However these diagnosis are not made with MRI only, and they need clinical correlation to what the patient’s symptoms are. Most of the time, they are just nonspecific and nothing needs to be done for these abnormalities in MRI, but is important that your physician correlates this with your symptoms.
-Small calcified meningioma: A meningioma is a benign tumor, usually is silent, and is detected incidentally when MRIs are performed for other reasons. If they are small, and no symptoms are present attributed to the meningioma, nothing needs to be done other than observation over time.  Calcified meningiomas do not usually grow.
If a meningioma grows, or if you develop symptoms from it, treatment should be considered, including surgery. However from your description, I do not think this is needed, but you should discuss this with your neurologist.
-Regarding the first part, talking about partial abscense of the corpus callosum, you should discuss this with your neurologist in order to determine if you have symptoms associated with this.

MRI reports are a very good way to communicate abnormalities appreciated. As neurologists, we usually like to see the images in order to have a certainty about what the radiologists are talking about, and in order to be able to correlate the findings to the clinical presentation.
Without being able to obtain a detailed history, a good physical and neurologic exam, and without being able to see the images of the MRI, I cannot tell you what you should do regarding these findings, or what is causing your symptoms.
I think you should discuss your concerns with your neurologist, and have the follow up MRI as you describe.
I hope this information is useful. Good luck.