Craniopharyngioma, status post resection. Heterogeneously enhancing, cystic and solid lesion centered on the suprasellar cistern demonstrates significant increase in the cystic components and decrease in the solid components. Overall size of the mass is similar to prior, for example in the midline sagittal image, the lesion measures approximately 3.1 x 3.5 cm in the craniocaudal and AP dimensions, previously 3.1 x 3.6 cm.Mass effect involving the sella and suprasellar cistern including the optic apparatus as well as on the foramen of Monro and third ventricle are also similar to prior. No significant change in size of the ventricles with unchanged mild prominence of the lateral ventricles.
Overall size of the craniopharyngioma and associated mass effect has not significantly changed since 5/27/2016, however the cystic components have become much more predominant in the interval and solid components have decreased.