18-year-old female with right upper and lower extremity numbness. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchymal signal appears unremarkable. There is no abnormal intracranial enhancement. There is a 10 mm wide arachnoid cyst medial to the anterior temporal lobe on the right side. There is mild flattening of the pituitary gland. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is mucosal thickening in the bilateral maxillary sinuses, right more so than left, right anterior ethmoid air cells, and right frontal sinus. There is again nonspecific prominence of the adenoids. Anterior dislocation and deformity of the left mandibular condyle is again noted, as on CT of the maxillofacial bones from 4/7/2016. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. Incidental right middle cranial fossa arachnoid cyst. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarct.2. Mild flattening of the pituitary gland may indicate pseudotumor cerebri, although this appears to be an otherwise isolated finding.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.