18 year-old patient with somnolence and bilateral DVTs. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. No abnormal enhancing lesions are appreciated intracranially.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.Within the pituitary fossa and there is some some enhancement and around the infundibulum of the pituitary gland . correlating with the recent MRI this may represent a small pituitary fossa with horizontal orientation of the infundibulum, however, imaging is nonspecific for pituitary.
The infundibulum of the pituitary gland appears mildly thickened. Please correlate with for clinical symptoms related to to the pituitary. If thought clinically appropriate, an MRI of the pituitary may be of benefit in assessing this area.