MRI question re pediatric neurology, cysts and corpus callosum

[Astareae123]

My 3 year old daughter recently had an MRI because of a cyst on her nose that would not heal. The MRI revealed "in the frontonasal region, deep to the lesion indicator, there is a circumscribed small cystic lesion. There is intense restricted diffusion within it and likely communication with the skin surface. No communication with the intercranial anterior fossa structures identified. The signal characteristics are highly suggestive of a nasal epideroid/dermoid."
I understand this part as she has a cyst inside her skull that needs to be removed and was connected to the cyst on her nose. I do not understand the rest of the MRI and need some clarification:
"Hypoplastic corpus callosum with small curvilinear midline callosal lipoma.
Very small cystic lesion within the sella, likely a pars intermedia cyst and often incidental. Should be correlated clinically for any indicators of abnormal hormone production that may suggest microadenoma."

[Astareae123]

Thank you so much, we are taking her to see a specialist regarding the dermoid cyst, and will ask about the other cyst.

[horselip]

Hi-
i am not a doctor but a pituitary patient. The way that I am interpreting the other part of this MRI report is that there is a small cyst in the sella region, which is the area where the pituitary gland sits. These can be incidental and not affect the person with them or cause problems with hormones and more.

This is a type of case to be taken to a pituitary center which are usually in larger university affiliated hospitals. You want this to be evaluated to see if it is indeed affecting ur daughter or not.

1. The report is saying that ur daughters hormones should be checked. I suggest that you make an appt with a pediatric neuro-endocrinologist so that they can order the proper hormone tests to see if the cyst is affecting any of her pituitary hormones.

2. Also I rec that a pituitary neurosurgeon be consulted in conjunction with an ENT surgeon. You want them to look at where this cyst is sitting in terms of structures like the carotid arteries and optic nerves.

It may be that she is not being affected by the sella cyst and that monitoring might be recommended.

However if she will need surgery for the other cyst in her nose it might be worth it to have the other one removed at the same time which is usually done via an endoscopic surgery through the nose.

These are things to think about as you move forward in getting ur daughter's situation better understood.

Hope that this helps you to understand the MRI a little more
Horselip