17 years Female (DOB:3/12/1999)Reason: MRI Stealth brain with pituitary cuts and dynamic views for surgery planning today. Pituitary hemorrhage third time History: MRI for surgery planning and image guidance during surgery .PROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM There is a small cystic appearing lesion present within the pituitary fossa. It has not changed since the prior exam. It measures 11 x 6 mm sagittal dimensions. It has a fluid fluid level.There is a focus of gray matter heterotopia adjacent to the frontal horn of the right lateral ventricle. Normal 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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Cystic type lesion possibly with blood products located within the pituitary fossa. This remains stable since prior exam.2.Stable focus of gray matter heterotopia along the right frontal horn. Otherwise, unremarkable evaluation of the brain.