Headache. Evaluate for pituitary mass. There is a punctate non-enhancing focus interposed between the anterior hypophysis and posterior pituitary. The pituitary gland is not enlarged and otherwise enhances homogeneously. The infundibulum, optic apparatus, and cavernous sinuses are intact. There are mild nonspecific scattered T2 hyperintense foci in the cerebral white matter. There is a cystic pineal gland that measures up to 15 mm, without associated nodular enhancement. There is no evidence of intracranial hemorrhage or acute infarct. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Punctate pars intermedia cyst, but no evidence of pituitary adenoma.2. Nonspecific cystic pineal gland that measures up to 15 mm, but no ventriculomegaly.3. Mild nonspecific scattered T2 hyperintense foci in the cerebral white matter. 