31-year-old male. Clinical question to be answered: Intracranial hemorrhage. Signs and symptoms: Acute cysts left ear. Changes consistent with patient's history of pituitary adenoma with enlarged sella are again identified with no interval change since prior exam. No evidence of hemorrhage, edema, mass effect, midline shift or hydrocephalus. This examination remains a stable since prior study. Exclude residual pituitary tumor an MRI examination with infusion is the appropriate study.Mastoid air cells and middle ear cavities are unremarkable. Limited view of paranasal sinuses are unremarkable.
No areas of interval change since prior examination from 6 -- 28 -- 2009.