Female, 81 years old, with memory decline, history of pituitary macroadenoma. A chronic lacunar infarct of the right basal ganglia is unchanged. No diffusion restricting lesions are seen. No evidence of parenchymal edema or mass effect is detected. No acute intracranial hemorrhage or any abnormal extra axial fluid collection is seen. Ventricular size and morphology are unchanged. There is mild generalized parenchymal volume loss, not out of proportion to age, and not significantly changed. On postcontrast images, no pathologic parenchymal or extra-axial enhancement is observed. The pituitary gland remains enlarged, similar to that seen on the prior examination.
1.A chronic right lacunar infarct is redemonstrated. No new or acute findings are seen.2.Stable enlargement of the pituitary gland.