Clinical question coiling evaluate sella. History of pituitary adenoma. Signs and symptoms Crohn's history of pituitary adenoma. Nonenhanced head CT:Slightly prominent sella turcica and the pituitary gland appears similar to prior exam.This examination is also compared with CT of soft tissues of neck dated 2-- 9 -- 10 which also demonstrates similar findings without appreciable change.Nonenhanced head CT is not the appropriate tests for precise evaluation of pituitary gland and or sella. This finding can be better evaluated with a dedicated MRI of pituitary gland. There is no abnormality of basal cistern or any mass effect on the chiasm. Splenic sinus is within normal limits.There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. No evidence of any new finding since prior head CT from 1 -- 27 -- 10
1.No evidence of acute new finding since prior study.2.Slight prominence of pituitary gland and sella is identical to prior study from 1 -- 27 -- 10.3.Most appropriate method of evaluation for pituitary pathology is by MRI exam.