69-year-old man with fall and head trauma. Questionable loss of consciousness. There is no evidence of intracranial hemorrhage or edema. Scattered areas of hypoattenuation are present in the subcortical, periventricular, and basal ganglia regions. These are consistent with age determined small vessel ischemic disease. No CT findings of acute stroke are present. Large vessel calcifications are noted in the carotid arteries.Fullness of the sella is noted. MRI is recommended to evaluate for the presence of a sellar mass.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base reveal no CT evidence of fracture. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. No CT evidence of intracranial hemorrhage or fracture.2. Sellar fullness is present. Recommend pituitary protocol MRI tube evaluate for presence of sella mass.3. Age-indeterminate small vessel ischemic disease.