 There is no evidence of intracranial hemorrhage or acute infarct. There are a few scattered punctate foci of signal abnormality mostly in the supratentorial white matter, which are nonspecific. The brain parenchyma appear unremarkable. There is a sellar mass which is indistinguishable from the native pituitary gland and is incompletely characterized on this exam. The sellar mass may involve the left cavernous sinus and projects into the suprasellar cistern with elevation of the optic nerves and chiasm. The ventricles and basal cisterns are patent. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of acute infarct.Sellar mass which is incompletely characterized on this exam. Recommend dedicated contrast enhanced MRI of the pituitary for further evaluation.