Persistent headache and BMI >47. Check for evidence of pseudo tumor, etc History: persistent headache. MRI: 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. There is flattening of the pituitary gland. 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, and scalp soft tissues are grossly unremarkable. There is fluid within the right maxillary sinus.MRA: There is no evidence of cerebral aneurysms. There is no evidence of significant steno-occlusive lesions.
1. Flattening of the pituitary gland may be a manifestation of pseudotumor cerebri.2. No evidence of cerebral aneurysms. 3. No evidence of intracranial hemorrhage, mass, or acute infarct. 4. Possible acute right maxillary sinusitis.