ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Sella & Perisellar region.
CLINICAL PROFILE :

C/O headaches since 7-8 months with loss of appetite and weight.
Patient is blind since the age of 4 years.
CT Scan s/o craniopharyngioma with hydrocephalus.
H/O right parietal and left frontal V.P. Shunt.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

5 mm thick T2 Weighted axial images.

5 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a large ill-defined extra-axial mass lesion seen in the suprasellar cistern extending into the right temporal region and measures approximately 3.0 x 4.2 x .4.6 cms. This lesion is hyperintense to the white matter on the T1 Weighted images and turns hyperintense on the T2 Weighted images. There is slight indentation upon the third ventricle by a portion of the lesion which is isointense to fat on the T1 Weighted images and turns hypointense on the T2 Weighted images. Certain areas of this lesion are of intermediate signal intensity on the T1 Weighted images and turn hyperintense on the T2 Weighted images. There is mass effect with compression upon the body of the right lateral ventricle and slight shift of the midline structures to the left. There is slight indentation upon the right cerebral peduncle.

The pituitary gland is compressed by this lesion.


A burr hole is noted in the right posterior parietal region. A ventriculostomy tube is seen to traverse through the right parietal lobe and the tip is seen to lie in the body of the right lateral ventricle. A shunt tube tract is seen in the left frontal region.

There is slight fullness of both the lateral ventricles.

The fourth ventricle is normal.

IMPRESSION :

In a known C/O craniopharyngioma, the MRI features are suggestive of :

1. A large extra-axial mass lesion in the suprasellar cistern extending into the right temporal region measursing approximately 3.0 x 4.2 x .4.6 cms.as described.

2. Post-shunt status.