Male, 18 years old, with history of pineal germinoma status post chemoradiation, end therapy 07/2014, complaining of intermittent bilateral lower leg crampy pain since February, no vision changes, no headaches. Brain:Redemonstrated is evidence of right frontal approach stereotactic pineal biopsy. Susceptibility effect is again seen in the pineal region, but there are no new lesions to suggest recurrent tumor. No evidence of focal parenchymal edema or mass effect is detected. No pathologic parenchymal or extra-axial enhancement is seen. No abnormal extra-axial collections are observed. The ventricles remain normal in size and morphology.Spine:Axial sequences of the spine are moderately degraded by motion artifact. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow replacement or enhancement is seen. The visualized spinal cord, conus and nerve roots of the cauda equina are within normal limits and free of pathologic enhancement. No significant spinal canal or foraminal stenosis is detected.
1.No evidence of residual or recurrent pineal region tumor.2.No evidence of metastases in the brain or spine.