37 years Female (DOB:3/28/1978)Reason: Eval suprasellar mass. Please add pituitary cuts. History: suprasellar mass lesion,.PROVIDER/ATTENDING NAME: RIMAS V LUKAS RIMAS V LUKAS MRI brain:There is a 44 x 29 mm coronal dimension and 42 x 35 mm sagittal dimension the mass involving the third ventricle and bulging inferiorly into the suprasellar cistern which insinuates itself into the third ventricle and subsequently abuts the inferior aspect of the body of the left lateral ventricle. There is associated distortion of the adjacent left thalamus and associated displacement of the internal cerebral veins superiorly. It appears to displace the optic chiasm inferiorly into the pituitary fossa. This is peripherally enhancing and somewhat septated. The signal intensity differs from spinal fluid and is lower than CSF in signal on T2 imaging and higher than CSF in signal intensity on T1 imaging.The lateral ventricles aren't dilated.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.Fiducial markers are in place.MRI pituitary:The pituitary gland is appropriate in overall height and morphology. The infundibulum of the pituitary gland is midline but displaced inferiorly by a the third ventricular mass. No intrasellar mass is identified. The cavernous sinuses are intact bilaterally.
1.A cystic mass in the third ventricle is present which bulges into the suprasellar cistern. This could represent a neoplasm such as a astrocytic astrocytoma2.There is ventriculomegaly present.3.Exam was performed the purpose of stereotactic guidance. 4.Exam is mildly compromised due to patient motion.