The middle ear cavities, mastoid air cells, and paranasal sinuses are clear. IMPRESSION: Stable postoperative appearance of the sella and right pterional craniotomy, without evidence of intracranial recurrent or residual tumor. Resolution of previously seen mastoid disease. Please see separate report of MRI spine study. END OF IMPRESSION: MRI BRAIN, WITH AND WITHOUT CONTRAST: CLINICAL INDICATION: Suprasellar germinoma with T3 spinal metastatic disease, status post chemotherapy and stem cell transplant.