Comparison made with previous two studies. There has been regrowth of the previously debulked craniopharyngioma within the sella turcica and extending into the suprasellar region and now again abuts the central portion of the optic chiasm. The tumor complex is T2 hypointense and hyperintense within the sella and suprasellar region, and post-contrast shows heterogeneous enhancement with non-enhancing presumed cystic components or components with some calcification as seen on the original CT scan. There is asymmetrical mild dilatation of the lateral ventricles with the last right being slightly larger than the left. Normal third and fourth ventricles. The remainder of the brain parenchyma is normal.
The second lesion within the inferior frontal lobe subcortical white matter again follows CSF on all sequences except on FLAIR where it has a hyperintense rim of hypointense central component to grey matter. It is ovoid and measures 7mm in diameter.