Systemic lupus erythematosus, unspecified [M32.9], Reason for Study: ^Reason: Findings suggestive of neuropsychiatric lupus History: Severe headaches, symptoms of depression There is no evidence of acute ischemic or hemorrhagic lesion.There is no abnormal signal intensity on FLAIR/T2 images.There is no evidence of abnormal enhancement.There is about 9.8 x 8.8 mm sized well-circumscribed nonenhancing fluid containing lesion at the area of the pineal gland indicating pineal cyst.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. 9.8 mm x 8.8 mm sized pineal cyst as described above.2. Otherwise unremarkable brain MRI.