Headaches. Evaluate pineal cyst from prior scan in 2013. There is a 7 mm T1 hypointense, T2 hyperintense, and peripherally enhancing pineal gland lesion compatible with a simple cyst is unchanged in size and appearance from outside MRI dated 5/18/2013. There are a few scattered foci of FLAIR hyperintensity which are nonspecific. There is no evidence of intracranial hemorrhage, parenchymal mass, or acute infarct. There is no abnormal intraparenchymal or meningeal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a partially empty sella and suggestion of mild distention of the optic nerve sheaths. The orbits, skull, paranasal sinuses, and scalp soft tissues are otherwise grossly unremarkable.
1. No appreciable change in size or appearance of 7 mm pineal gland cyst as compared to MRI on 5/18/2013. No suspicious intracranial lesions.2. Partially empty sella which can be a normal variant or represent intracranial hypertension in the appropriate clinical setting. There is mild distention of the optic nerve sheaths which favors the latter, but suggest correlation with clinical findings.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.