 Measures are somewhat limited by patient motion. The ventricles and sulci are somewhat prominent, consistent with mild global mild volume loss greater than expected for patient's stated age. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. Please note that 3-D T1 post contrast images are degraded by artifact. There is no diffusion abnormality. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. Again noted is a small T2 hyperintense lesion within the with paramedian posterior aspect of the anterior pituitary gland. The remainder of the midline structures and craniocervical junction are within normal limits. A small left sphenoid mucosal retention cyst.CERVICAL SPINE
1.Redemonstration of benign appearing tiny T2 hyperintense lesion within the left paramedian pituitary gland which is nonspecific and likely incidental. Otherwise, unremarkable contrast enhanced MRI of the brain.2.No significant cervical spine abnormality. Minimal mid to lower cervical spondylotic changes without significant stenosis at any level.