Precocious puberty and headaches, abnormal pituitary on MRI, back pain, gait changes: 6month follow up. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Pituitary: The pituitary gland is not enlarged and enhances appropriately. The posterior pituitary bright spot and infundibulum are intact. The cavernous sinuses and optic apparatus are unremarkable. There is no evidence of sella or parasellar mass lesions.Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The conus medullaris is situated at the L1-2 level. The cauda equina nerve roots are unremarkable. The paravertebral soft tissues are unremarkable.
1. No evidence of intracranial hemorrhage, mass, or hydrocephalus. 2. No evidence of pituitary lesions3. No evidence of spine lesions.