Cerebral radiation necrosis (CRN) is a recognized late complication following cranial irradiation.This article describes a unique case of CRN occurring contralaterally Wooden Toy to the original irradiation site in a male treated for atypical meningioma with surgery and subsequent radiation therapy.This case highlights the diagnostic challenge of differentiating CRN from tumor recurrence or progression and highlights the importance of advanced imaging techniques and Disposables biopsy for diagnosis.