What is the cause and its effect if found two small nodular foci of subcortical hyperintensity in Flair images in right high frontal region - Deviated nasal septum towards left side with hypertrophied left middle and inferior turbinates - Sella is empty with flattened pituitary gland along the floor
Hello Thank you for trusting Chat Doctor Dear thank you for asking this question. Dear empty sell may be accidental finding on MRI brain. In MRI scans pituitary gland not visible, so it appears like empty, so it is called empty sell. In primary empty sell arachnoid layer extends below the pituitary cause compress pituitary cause empty sell. Secondary empty sell due to tumor or trauma or infection or in pregnancy induced hypertension may cause pituitary apoplexy ahead to empty sell. Usually turbinates hypertrophy seen apposite side of deviation of deviated nasal septum. For DNS can consult ENT surgeon he will examine and treat you accordingly.