The irregular heterogenous enhancing pineal mass demonstrates several tiny cystic foci and eccentric coarse calcifications There is moderate mass effect on the adjacent tectum and vermis, with loss of definition and possible parenchymal invasion on the left.
There is associated aqueduct compression, with moderate hydrocephalus and hand and or signal abnormality.
Incidental note is made of minor paranasal sinus disease and polypoidal thickening at the posterior margin of the left inferior turbinate.