Date : 00.00.00
Name of the Patient : Abc Xyzda M. Shlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hypogonado trophic hypogonadism with TB meningitis 10 years ago.
C/O irregular menses since then.
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.
MR cisternogram was obtained in the sagittal plane.
The brain was screened with 5 mm thick T2 Weighted axial images.
The CSF in the suprasellar and interpeduncular cisterns appears slightly more hyperintense when compared to normal on the T1 Weighted images. There is slight herniation of the optic chiasma and optic tracts into the sella. The pituitary stalk is not well identified.
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The hypothalamus is unremarkable.
The cavernous sinuses are also unremarkable on either side.
No significant abnormality is detected in the brain parenchyma per se on this study. The ventricular system is unremarkable.
Altered signal of the CSF in the suprasellar and interpeduncular cisterns with slight inferior herniation of the optic chiasma and tracts into the sella and an ill-defined pituitary stalk may be as a result of adhesions occuring in these cisterns the sequelae of previous tuberculous meningitis.
A contrast enhanced scan would be helpful.
No obvious mass lesion is identified in the pituitary gland per se.