Male, 53 years old, gynecomastia status post heart transplant x2. The pituitary gland is normal in size. Although there is a mild heterogeneity to the pattern of parenchymal enhancement, no discrete lesion is identified. The pituitary stalk sits at the midline and shows normal enhancement. The suprasellar cistern is clear. No abnormality of the visualized optic apparatus are seen.Limited evaluation of the brain reveals a few scattered nonspecific small foci of white matter T2 hyperintensity as well as mild rimming hyperintensity along the right frontal horn. No evidence of parenchymal edema or mass effect is seen. No restricted diffusion is detected. No evidence of pathologic parenchymal or extra-axial enhancement is seen. Mild mucosal thickening is evident within the paranasal sinuses. The right mastoid air cells and to a lesser degree the left mastoid air cells demonstrate fluid signal opacification.
No specific pituitary lesion is seen to account for the patient's symptoms.