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Date : 00.00.00

Name of the Patient : Abc Xyza P. Shirslmn / M / 14 yrs.
Referred by : Dr. Abc Xyzel.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O pain in both knees, hoarseness of voice and diminished vision.
O/E coarse skin, macroglossia and spade-like fingers.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images.

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Ther is seen an approximately 9.0 mms diameter sized, well-marginated, hypointense lesion on the T1 Weighted images in the right half of the anterior pituitary gland. This lesion appears hyperintense on the T2 Weighted images. Slight depression of the floor of the sella on the right is noted. The pituitary stalk is in the midline. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. The optic chiasma, suprasellar cistern and cavernous sinuses are unremarkable.

The sphenoid sinus shows evidence of a midline septum. An inflammatory, polypoid lesion is noted in the sphenoid sinus on the left.

T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.






IMPRESSION :

An approximately 9.0 mms diameter sized lesion in the right half of the anterior pituitary gland on the right, as described, most likely represents a pituitary microadenoma.

A contrast enhanced scan would be worthwhile.
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