26 year old woman lactating, retrobulbar headaches. Evaluate for mass, pituitary adenoma. There is no evidence of intracranial hemorrhage, mass or edema. There is a lateral temporal hypodensity visualized on a single slice (series 2 image 10). This is likely volume averaging artifact. There is no definite pituitary adenoma, however MRI is superior for detection of pituitary adenomas.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Normal brain CT. Unclear from the history if patient has galactorrhea or normal lactation. It galactorrhea is present, MRI would be appropriate to evaluate for pituitary adenoma.