 There is no evidence of intracranial hemorrhage or acute infarct. There are scattered small foci of T2 hyperintensity throughout the supratentorial white matter that are most compatible with chronic small vessel ischemic disease. There is mild global volume loss that is some what more prominent in the parietal lobes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a 4 mm T2 hypointense and T1 hyperintense lesion within the middle of the pituitary gland. The major cerebral flow voids are intact. The craniocervical junction is within normal limits. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
1.No evidence of intracranial hemorrhage, acute infarct, or structural abnormality. 2.4 mm pituitary lesion is incompletely evaluated on this exam and may represent a pars intermedia or Rathke's cleft cyst, or a microadenoma. Further characterization with a pituitary MRI suggested.3.Mild presumed chronic small vessel ischemic disease and global volume loss.