31 year old female with history of Chiari 1 malformation, pseudotumor, and hypertension, presenting with acute dysarthria and confusion. Evaluate for intracranial hemorrhage versus enlarging ventricular size. There is no evidence of intracranial hemorrhage or edema. A round homogeneously hypoattenuating mass is seen in the region of the pineal gland, which may represent a cyst. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. No acute intracranial abnormalities.2. Hypoattenuating mass in the region of pineal gland, which may represent a cyst. Consider MRI to further evaluate if clinically indicated.