56 year old female with a history of hypertension and episodes of dizziness. There is no evidence of acute 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. Incidental note is made of a dysmorphic pituitary fossa without evidence of focal mass lesion in the expected region of the pituitary gland. If the patient has symptoms consistent with a pituitary abnormality further evaluation with a dedicated MRI examination could be considered for further characterization. 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 clear.
1. Dysmorphic pituitary fossa without evidence of focal mass lesion. If the patient has symptoms suggestive of pituitary pathology, further evaluation with a dedicated MRI examination could be considered for further characterization. 2. No acute intracranial abnormality. No evidence of acute intracranial hemorrhage or mass.