<prompt> A 47yrs old female co headache, changes in vision, seizures from past 2yrs. Now she has developed weakness . side of body. A CT scan was being ordered by the physician which showed well circumscribed mass abutting the skull in left hemisphere. On contrast enhanced MRI shows - What is the next step in management of this patient?Surgical excisionChemotherapy with AdriamycinCerebral angiography with tumor embolizationPreoperative radiation therapy followed by surgical excision  <response>: Most likely diagnosis in this patient is meningioma CECT finding findings points towards it it is a slow growing tumor arising from arachnoid layer. predominately occurs in females peak incidence around 45yrs primary treatment of meningioma includes - surgical excision with radiation therapy - if complete resection is not possible 11 -15 recurrence is there, even after gross total resection. 