Headache, fatigue, heat intolerance. There is mild flattening of the pituitary gland, measuring up to 4 mm in craniocaudal dimension. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged 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.
Mild flattening of the pituitary gland may indicate atrophy or perhaps pseudotumor cerebri in the appropriate clinical setting, for example. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarct. 