Benign intracranial hypertension [G93.2], Reason for Study: ^Reason: assess for subarachnoid hemorrhage, pituitary abnormality History: CT concerning for pituitary hemorrhage, headache and neck pain 26 years Female (DOB:6/20/1990)Reason: assess for subarachnoid hemorrhage, pituitary abnormality History: CT concerning for pituitary hemorrhage, headache and neck painPROVIDER/ATTENDING NAME: NAVNEET CHEEMA There is no evidence of acute ischemic or hemorrhagic lesion.Smooth linear enhancement of thickenings on post gadolinium enhancement without associated with small ventricle size or sagging of brainstem. These findings indicate either pachymeningeal irritation such as post lumbar puncture status, pachymeningitis or intracranial hypotension. Considering the patient recent history of a lumbar puncture with CSF drainage, this finding is not unexpected.The pituitary gland is measured about 11.1mm (right to left) x 10.3 mm (craniocaudal) with a homogeneous enhancement. There is no MRI evidence of pituitary gland hemorrhage. At this age female, these findings are within normal limits.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1. Diffuse pachymeningeal enhancement is seen most likely reflect recent lumbar puncture with CSF drainage.2. No evidence of acute ischemic or hemorrhagic lesion.3. No evidence of pituitary hemorrhage.