Hypogonadotropic hypogonadism. The pituitary gland demonstrates homogenous enhancement, without evidence of focal lesions. The pituitary stalk is intact and positioned in the midline. The pituitary gland is not enlarged nor atrophic. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged scattered mild nonspecific cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles 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.
No evidence of pituitary mass.