 MRI Orbits:There is no mass or evidence of mass effect within the orbits. There is no abnormal signal or mass involving the optic nerves or chiasm. Globes and extraocular muscles also appear unremarkable. No abnormal enhancement is appreciated.MRI Pituitary:Pituitary gland measures up to 8 mm in the craniocaudal dimension which is prominent for age. There is no suprasellar extension, mass effect on the optic chiasm or extension into the cavernous sinuses. There is normal T1 shortening of the neurohypophysis. Post gadolinium sequences of the sella are technically degraded. However no obvious lesion within the pituitary gland is appreciated.MRA Brain: The intracranial internal carotid arteries demonstrate no significant stenosis. The middle and anterior cerebral arteries are also patent. The vertebral arteries, basilar artery, and posterior cerebral arteries also are patent with no significant stenosis. The vertebrobasilar system appears relatively small which is developmental. There is fetal origin of the bilateral PCAs. No evidence of aneurysms or vascular malformations.
1.No flow limiting stenosis or aneurysm involving the intracranial vasculature.2. Post gadolinium images of the orbit and sella are technically limited as patient had difficulty tolerating the study. The pituitary gland measures up to 8 mm in the craniocaudal dimension, which is prominent for age and while nonspecific may reflect pituitary hyperplasia. There is no clear evidence of a pituitary macroadenoma, mass effect on the chiasm, or cavernous sinus extension. If there is suspicion for microadenoma or a small orbital lesion, repeat post gadolinium sequences are suggested.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.