There is a 15mm x 20mm x 17mm hypointense mass that is expanding in the sella turcica that could represent a pituitary macroadenoma. There is slight extension of the mass into the suprasellar cistern but there is no concomitant compression of the optic chiasma.
Normal optic tracts and optic nerves.
There is moderate left sphenoid sinusitis and minor right sphenoid sinusitis.
There is no hydrocephalus, no intracranial haemorrhage, and normal anatomy of the craniocervical junction.