17-year-old with history of germinoma s/p chemotherapy and radiation therapy. Off therapy evaluation Brain: There is no new mass or enhancement in the region of the pineal gland to suggest tumor recurrence. Again seen is susceptibility effect in the pineal region related to chronic blood products and/or mineralization. Again seen are right transfrontal surgical tracts related to prior third ventriculostomy and pineal mass biopsy. The remainder of the brain appears within normal limits. No evidence of parenchymal signal abnormality, edema or mass effect is seen. No pathologic parenchymal or meningeal enhancement is observed. The ventricular system is normal in size and morphology. Multiple small mucous retention cysts are seen in the bilateral maxillary sinuses. Spine: There is no evidence of mass lesions or abnormal enhancement within the spinal canal. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. No suspicious osseous lesions are seen. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Stable examination with no evidence of recurrent tumor in the pineal region.2. No evidence of leptomeningeal disease in the brain or drop metastases in the spine.