Evaluate pineal gland cyst for growth: large head size and seizures. There is an unchanged cystic pineal gland, which measures up to approximately 15 mm, without evidence of abnormal enhancement. There is no evidence of intracranial hemorrhage or acute infarct. The left hippocampus appears to be slightly malrotated. The brain parenchyma otherwise appears unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are small retention cysts in the maxillary sinuses.
1. Unchanged cystic pineal gland.2. The left hippocampus appears to be slightly malrotated. Follow up via dedicated seizure protocol MRI may be useful.