 Compared to the previous study there is a suprasellar mass that measures 22 mm in the CC diameter (601/14) unchanged since the previous study. In the axial view the mass measures 17 x 15 mm (701/12), not significantly changed since the previous study. The cavernous carotids appear normal. The mass abuts the optic chiasm and displaces of the chiasm and left optic nerve superiorly. The left anterior cerebral artery is slightly displaced superomedially.There is subcortical T1 hypointensity and T2 hyperintensity in the right subcentral lobule extending to the right supramarginal gyrus with volume loss representing encephalomalacia. The area is surrounded by FLAIR hyperintensity representing gliosis.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.
1.Suprasellar mass is grossly unchanged in size since the previous study. 2.Encephalomalacia of the right subcentral lobule extending to the right supramarginal gyrus.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 