 There is an unchanged expanded-empty sella without evidence of mass lesions. The pituitary gland is markedly flattened along the superior aspect of the sella. The pituitary stalk lies in the midline. The optic apparatus and cavernous sinuses are intact. There are prominent arachnoid granulations in the left middle cranial fossa, into which the inferior temporal lobe slightly protrudes. There is a subcentimeter cystic lesion in the posterior nasopharynx, which may represent a retention cyst or Thornwaldt cyst.
Unchanged enlarged partially-empty sella and prominent left middle cranial fossa arachnoid granulations, into which the left inferior temporal lobe slightly protrudes, may be manifestation of pseudotumor cerebri.