37-year-old female with a cystic suprasellar mass, radiation planning for craniopharyngioma status post surgery. Patient is experiencing vision changes. Redemonstrated is the patient's cystic lesion involving the third ventricle and suprasellar cistern. There has been interval enlargement, now measuring 3.4 cm AP x 2.4 cm transverse x 3.9 cm craniocaudal. Mass effect upon the lateral ventricles has increased although there remains no evidence of hydrocephalus. Previously demonstrated postbiopsy changes have nearly resolved. There remains a small amount of susceptibility hypointensity as well as enhancement underlying the biopsy entry site as well as some persistent mild soft tissue swelling in the overlying subcutaneous tissues. Associated vasogenic edema has decreased. Expected vascular enhancement is present.
Redemonstrated is the patient's cystic lesion involving the third ventricle and suprasellar cistern. There has been interval enlargement, now measuring 3.4 cm AP x 2.4 cm transverse x 3.9 cm craniocaudal. Mass effect upon the lateral ventricles has increased although there remains no evidence of hydrocephalus.