Hypothyroid, adrenal insufficiency, hypo-PTH. The pituitary gland is not enlarged and there is no evidence of sellar or suprasellar mass lesions. A small posterior pituitary bright spot is apparent. The pituitary infundibulum is slightly wide, but otherwise intact and situated in the midline. The optic apparatus, regional internal carotid artery flow voids, and cavernous sinuses are intact. There is diffuse, thin, smooth dural hyperenhancement, along with trace diffuse subdural effusions. The imaged portions of the brain parenchyma are unremarkable.
1. No evidence of pituitary tumor.2. Diffuse, thin, smooth dural hyperenhancement, along with trace diffuse subdural effusions is nonspecific, but may be related to intracranial hypotension, for example. 