Dysphagia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The cerebellar tonsils are minimally low-lying, but retain a rounded morphology. The brain parenchyma and brainstem appear unremarkable. There is flattening of the pituitary gland. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a small right maxillary sinus rentention cyst.
Flattening of the pituitary gland is nonspecific, but may represent pseudotumor cerebri. In addition, the cerebellar tonsils are minimally low-lying. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.