Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / F / 38 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
H/O transphenoidal subtotal excision of haemorrhagic non-malignant pituitary macroadenoma done on 00.00.00.
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.
The pituitary gland appears bulky and measures approximately 13.0 x 15.0 x 8.0 mms. A hyperintense signal is seen in the inferior aspect of the pituitary region. This is seen to turn hypointense on the T2 Weighted images and may represent a fat graft, the result of previous surgery. The superior portion of the lesion is hypointense on the T1 weighted images and turns heterogenously hyperintense on the T2 Weighted images. The optic chiasm is seen separate from this lesion. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is slightly deviated to the right side. The hypothalamus is unremarkable.
T2 Weighted axial images of the brain do not reveal any significant feature of note. Incidental note is made of a left maxillary polyp.
IMPRESSION :The MRI features are suggestive of :1. Post-operative status.2. There is no significant decrease in the size of the pituitary macroadenoma as compared to the previous MRI (study no:0000) dated 00.00.00.