38 years Female (DOB:11/2/1977)Reason: brain lesion History: haPROVIDER/ATTENDING NAME: PETER C WARNKE PETER C WARNKE The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a perineal region mass measuring 23 x 18 mm axial dimensions. The lateral ventricles are enlarged . Biventricular diameter is approximately 44 mm on coronal imaging at the level of foramen of Monro previously was approximately 43 mm. This difference of 1 mm within the range of statistical variance. There is mild T2 hyperintensity adjacent to the lateral ventricles which has been stable since the prior exam.The ventriculostomy tract is identified in the right frontal lobeNormal 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 minor opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbit s are intact.
Examination was performed for the purpose of stereotactic guidance during surgery and is somewhat limited otherwise.. There is a pineal region mass associated with ventriculomegaly. This has not changed since the prior exam.