Osseous sarcoid. Brain: There are unchanged multifocal osseous lesions, including within the clivus, right parietal calvarium, occipital bone, right petrous apex, bilateral sphenoid greater wings, C2 body, and right mandible condyle and neck. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no abnormal leptomeningeal 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 are grossly unremarkable.Pituitary: There is mild asymmetric prominence of the right lobe of the pituitary gland, but otherwise no evidence of discrete pituitary or infundibular lesions. The cavernous sinuses and optic apparatus are intact.
1. Unchanged stigmata of multifocal osseous sarcoidosis in the head and upper cervical spine.2. No evidence of neurosarcoidosis involving the brain. 3. Nonspecific mild asymmetric prominence of the right lobe of the pituitary gland, but otherwise no evidence of discrete pituitary or infundibular lesions. 