Headache. The exam is mildly limited by motion artifact. There is no evidence of intracranial hemorrhage or acute infarct. There appears to be a 4 mm wide T1 hyperintense nodule superior to the pituitary gland, which appears to be separate from the posterior pituitary. The brain parenchyma and pituitary gland otherwise appear unremarkable. 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. No evidence of acute intracranial hemorrhage, ventriculomegaly, sinus disease, or acute infarction.2. An apparent 4 mm wide T1 hyperintense nodule superior to the pituitary gland, which appears to be separate from the posterior pituitary may represent a Rathke cleft cyst. A dedicated pituitary MRI without and with contrast may be useful for further characterization.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.