32 years Female (DOB:10/1/1983)Reason: 3 t scanner brain mass History: haPROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE There is a T2 hyperintense mass involving the left optic tract and the optic chiasm which abuts the left hypothalamus and is visually contiguous with the and also displaces the left for next. It appears to abut the left carotid terminus and anterior cerebral artery. It is hypointense on T1 and hyperintense on T2 and does not enhance and has a more less a cystic type appearance.There is depression of the right half of the cribriform plate. The olfactory bulbs are not well visualized. CSF space prolapses into the right ethmoid sinusNormal 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 some scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is a cystic type lesion involving the left optic tract and the optic chiasm associated with local mass effect. Please correlate with the patient's visual exam.2.The olfactory bulbs are not readily identified and there is depression of the right cribriform plate with a prolapse of CSF space into the right ethmoid sinus.