Headaches that are different from her migraines. Evaluate for vasculitis. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered punctate foci of abnormal T2/FLAIR hyperintensity within the subcortical white matter. There is no pathological enhancement. These are not dedicated images of the pituitary gland; however, suspected is a tiny subcentimeter cystic lesion within the posterior aspect of the sella without evidence of mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1. No evidence of acute infarct, mass, or mass effect.2. Scattered punctate T2 hyperintense foci within the subcortical white matter, which are non-specific, and may be related to mild chronic small vessel ischemic disease or migraines.3. Dedicated pituitary sequences were not obtained however there is a subcentimeter cystic lesion within the posterior sella which may represent a Rathke's cleft cyst. No associated mass effect.