 There are a few small foci of T2 hyperintensity in the periventricular white matter, subcortical white matter of the frontal lobes and right external capsule, which are non-specific. The pituitary gland is borderline small in size. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. 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. Small foci of T2 hyperintensity in the cerebral white matter are non-specific, but may represent chronic small vessel ischemic disease versus a demyelinating process. 2. The pituitary gland is borderline small in size, which can be due to atrophy or pseudotumor cerebri, for example.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.