Memory loss and pituitary adenoma. Brain: There is no evidence of intracranial hemorrhage or acute infarct. There are minimal scattered punctate foci of nonspecific T2 hyperintensity. The brain parenchyma otherwise appears 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, and scalp soft tissues are grossly unremarkable. There is extensive bilateral maxillary and ethmoid sinusitis with sections.Pituitary: There is a T2 hyperintense lesion with delayed enhancement in the right anterior pituitary that measures up to 2 mm. The pituitary gland is otherwise not enlarged or atrophic. The pituitary stalk is intact. There is no mass effect upon the cavernous sinuses or optic apparatus.
1. A lesion in the right anterior pituitary that measures up to 2 mm may represent a microadenoma. 2. Minimal scattered punctate foci of nonspecific T2 hyperintensity. 3. Findings suggestive of acute sinuitis.