33 years Female (DOB:10/18/1982)Reason: eval for pathology, OSH imaging reports pineal mass with hydrocephalus History: eval for pathology, OSH imaging reports pineal mass with hydrocephalusPROVIDER/ATTENDING NAME: KRUPA G ANDALKAR BAKHTIAR A YAMINI There is a cystic-appearing mass present in the pineal region measuring 17 x 24 mm in sagittal dimensions associated with a peripherally enhancing component. It measures approximately 21 x 18 mm coronal dimensions.There is associated ventriculomegaly present with dilation of the temporal horns of the lateral ventricles. The third ventricle measures approximately 15 mm in diameter where as the biventricular diameter is approximately 44 mm. There is a small amount of T2 and FLAIR signal hyperintensity surrounding the lateral ventricles.There is associated T2 and FLAIR signal hyperintensity within the medial aspects of the thalami as well as the tectal plate and the posterior aspect of the midbrain.. This signal hyperintensity is worst on the right compared to the left side. The internal cerebral veins and basal veins are both identified.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.
1.There is a pineal region mass present which is associated with findings suggesting that it infiltrates adjacent brainstem and thalami. This is suspected to represent a neoplasm such as a pineal parenchymal tumor. Other differential diagnoses include germ cell tumor, astrocytoma and metastases.2.Ventriculomegaly.