Follow-up prolactinoma: headaches and irregular menses. The pituitary gland enhances slightly heterogeneously, but no discrete tumor is discernible. The pituitary gland is not enlarged and there is no mass effect upon the optic apparatus or cavernous sinuses. The posterior pituitary bright spots is not conspicuous, however. The infundibulum is intact and located in the midline. There are subcentimeter nasopharyngeal retention cysts. There are foci of T2 hyperintensity in the imaged portions of the cerebral white matter.
1. The pituitary gland enhances slightly heterogeneously and the posterior pituitary bright spot is not apparent, but no discrete tumor is discernible to suggest an adenoma, and no evidence of pituitary apoplexy.2. Nonspecific foci of T2 hyperintensity in the imaged portions of the cerebral white matter. Follow up via a dedicated brain MRI may be useful.