54 years Female (DOB:3/21/1962)Reason: PAtient with h/o seizures since 2013, no prior MRI brain History: SeizuresPROVIDER/ATTENDING NAME: SANDRA LYNN ROSE SANDRA LYNN ROSE MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. A 2 mm-sized focus of signal loss and susceptibility imaging is present in the right frontal subcortical white matter at the level of the superior frontal gyrus.There is a developmental venous anomaly present in the right periventricular white matter.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.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.MRI pituitary:The pituitary gland is appropriate in overall height and morphology. The infundibulum of the pituitary gland is midline. No suprasellar or intrasellar mass is identified. The cavernous sinuses are intact bilaterally.A small cyst which is hypointense on T1 and hyperintense on T2 and does not enhance following gadolinium and is administration is present within the pituitary gland along the midline just behind the pituitary stalk.
1.There is a small cystic lesion in the pituitary gland centrally which could represent a Rathke's cleft cyst.2.There is a microhemorrhage present in the right frontal lobe which isolation is nonspecific and of unknown clinical significance. There is an associated developmental venous anomaly. It is conceivable this represents a small cerebral cavernous malformation, however, this is nonspecific.