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There is a heterogeneous density mass within the pituitary fossa and extending intothe suprasellar cistern and appears continuous with the hypothalamus. The dominantinferior component measures approximately 13 x 12 x 12 mm in maximum dimensions withhomogeneous enhancement superiorly and an irregular non-enhancing componentsinferiorly. It most likely represents a solid and cystic mass lesion, however, theenhancement is quite bright and a partially thrombosed aneurysm is an alternativeconsideration.
Otherwise, the ventricles and subarachnoid spaces are normal in size andconfiguration. No other focal parenchymal lesions. No midline shift or mass effect tosuggest a space-occupying lesion. No acute intra or extra-axial haemorrhage.
The paranasal sinuses, mastoid air cells and middle ear clefts are well-aerated.
CONCLUSION: Heterogeneously enhancing sellar and suprasellar mass. It most likely represent alesion with solid and cystic components, however, a partially thrombosed aneurysm is an alternative consideration.
Further assessment with an MRI/MRA is suggested, if not contraindicated.