Question new onset seizure. LD, ADHD. There is a suprasellar solid/cystic mass extending into the third ventricle and left frontal horn. The mass contains punctate areas of calcification. The mass extends posteriorly causing effacement of the midbrain and the quadrigeminal cistern. There is bony remodeling of the sella. This mass most likely represents a craniopharyngioma, and an MRI is recommended for further evaluation. There is mild leftward midline shift. No evidence of intracranial hemorrhage.The lateral ventricles are mildly dilated.An air-fluid level is present in the left sphenoid sinus. The remaining visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Suprasellar solid/cystic mass as described above. This most likely represents a craniopharyngioma and an MRI is recommended for further evaluation.