40 years Female (DOB:9/10/1975)Reason: transphenoidal hypo to be done today in the OR. Please do MRI Stealth for intraoperative image guidance during surgery. History: pituitary massPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 14 x 13 mm axial dimension cystic lesion suprasellar cistern.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate minor opacities The visualized portions of the mastoid air cells demonstrate some scattered opacities in the left The visualized portions of the orbits are intact.
There is a cystic type lesion in the suprasellar cistern. The possibility that this represents a craniopharyngioma cannot be excluded. Please compare to the prior MRI exam for further comments.