Pineal germinoma, off therapy evaluations. There is no significant interval change in the residual pineal gland lesion, which measures up to approximately 9 mm. There are postoperative findings related to endoscopic third ventriculostomy. The ventricles are unchanged in size and configuration. There are unchanged nonspecific bilateral parietal lobe periventricular white matter small T2 hyperintense areas. There is no evidence of acute infarction. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are unchanged.
No significant interval change in the residual treated pineal gland lesion. 