18-year-old male with a history of germinoma status post biopsy, chemotherapy, radiation therapy now off therapy evaluation. There is no new mass or enhancement in the region of the pineal gland to suggest tumor recurrence. Again seen is susceptibility effect in the pineal region related to chronic blood products and/or mineralization. Again seen are right transfrontal surgical tracts related to prior third ventriculostomy and pineal mass biopsy. No evidence of parenchymal signal abnormality, edema or mass effect is seen. No pathologic parenchymal or meningeal enhancement is observed. The ventricular system is normal in size and morphology. Multiple small mucous retention cysts are seen in the bilateral maxillary sinuses.
Stable examination with no evidence of recurrent tumor in the pineal region.