Headaches, worse over the past 4 months. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a punctate focus of T2 hyperintensity in the right parietal lobe subcortical white matter. The brain and cerebellar parenchyma otherwise appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is flattening of the pituitary gland. 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.Flattening of the pituitary is nonspecific, but could potentially be a manifestation of pseudotumor cerebri, although no other stigmata of this are evident.2.Nonspecific focus of T2 hyperintensity in the right parietal subcortical white matter, but no evidence of acute intracranial hemorrhage, mass, or acute infarct. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.