Complains of headaches. On Coumadin. Rule out chronic subdural? Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.The pituitary gland appears a slightly enlarged and with apparent extension into the basal cistern. This is concerning for a pituitary adenoma and follow-up with an MRI exam is recommended. This finding measures approximately 15.2 mm in cranial cephalad access on sagittal reformatted images.The cortical sulci, ventricular system, cisterns cisterns and gray -- white matter differentiation is within normal limits.Calvarium is intact.Paranasal sinuses and mastoid air cells are well pneumatized and unremarkable.
1.Pituitary adenoma as described above. Follow-up with an MRI is recommended.2.Unremarkable non-infused CT of brain and calvarium.3.Visualized paranasal sinuses and mastoid air cells are unremarkable.