Neuro_MR_Brain: 29 M, vision changes.

MRI BRAIN WITH CONTRAST:

 

CLINICAL HISTORY: 28-year-old with suprasellar mass.

 

FINDINGS:

 

There is a large, lobular extra-axial mass centered on the suprasellar region, 

eccentric to the left with extension into the left middle cranial fossa with lateral displacement of the anteromedial left temporal lobe, encasing the supraclinoid left internal carotid artery without narrowing. It appears discrete from the pituitary gland. Suggestion of layering debris with in the dominant left aspect of the lesion. Lesion is predominantly T1 and T2 hyperintense. There is a region of relative T1 hypointensity abutting the right medial temporal lobe, which is likely contiguous with suprasellar lesion containing different cystic or cellular components. Findings are consistent with craniopharyngioma.

 

IMPRESSION:

 

1. Suprasellar mass as described including extension into the left middle cranial fossa. Findings are consistent with 

craniopharyngioma.