42 year-old female with a history of pituitary adenoma presents with with weight loss, shortness of breath, and heaviness of the neck and upper chest CT HEAD:There is no evidence of intracranial hemorrhage, extra-axial fluid collection, mass or edema. There is no mass effect or midline shift. There is preservation of the gray-white matter interface. There is no evidence of acute territorial ischemia. Limited view of the sella turcica and pituitary gland is unremarkable. The pituitary gland is normal in size. There are sclerotic changes in the sphenoid bone most consistent with postsurgical changes. It should be noted that a dedicated MRI is preferred for evaluating interval changes in pituitary lesions. The ventricles and basal cisterns are normal in size and configuration. There is no effacement of the basal cisterns. The calvaria and skull base are radiographically normal. The visualized mastoid air cells and paranasal sinuses are within normal limits.CT NECK:The thyroid gland, parotid gland, and submandibular glands are within normal limits. The visualized orbits are within normal limits. The visualized paranasal sinuses and mastoid air cells are clear. Bilateral lung apex micronodules. There are small scattered cervical lymph nodes normal in size and shape, which are not enlarged by CT criteria. The major vessels are patent.Mild degenerative disk disease affects the cervical spine. There is preservation of the normal cervical lordosis. There is no evidence of acute fracture or malalignment. The prevertebral soft tissues are within normal limits.
1. No acute intracranial abnormality. Limited view of the sella turcica and pituitary gland is unremarkable. There are sclerotic changes in the sphenoid bone most consistent with postsurgical changes. It should be noted that a dedicated MRI is preferred for evaluating interval changes in pituitary lesions. 2. No evidence of focal neck mass or other radiographic finding to account for the patient's symptoms. 