History of Germinoma status post chemotherapy and radiation therapy, now off therapy for 9 months. Brain: The pineal gland region appears unchanged. There are unchanged right transfrontal surgical tracks. There is no evidence of intracranial hemorrhage or acute infarct. The sella and suprasellar regions are unremarkable. The ventricles are not significantly changed in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The orbits are grossly unremarkable.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. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Unchanged treated pineal germinoma.2. No evidence of spinal drop metastases.