Date : 00.00.00
Name of the Patient : Abc Xyzine Fernalmn / F / 27 yrs. Referred by : Dr. Abc Xyzmpat. Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE : Old C/O neurocysticercosis.
To r/o pituitary microadenoma.
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.
5 mm thick T2 Weighted axial images.
After administration of contrast, 3 mm thick T1 Weighted coronal and sagittal images and 5 mm thick T1 Weighted axial (with magnetization transfer) images were obtained.OBSERVATION :
The pituitary gland is normal in it's size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.The suprasellar cistern and cavernous sinuses on either side are unremarkable.After contrast administration, there is no focal area of abnormal enhancement in the pituitary gland.
screening images of the brain reveal a small approximately 3.0 mms diameter sized well-marginated, hypointense lesion more pronounced on the T2 Weighted images in the right fronto-temporal region, just inferior to the frontal horn of the right lateral ventricle (se/im 105/2). This lesion appears hypointense on the T2 Weighted images. There is no perilesional edema. After contrast administration, there is rim-enhancement of the above described lesion (disc like on the delayed images). The ventricular system is unremarkable. There is no midline shift. No obvious vascular anomaly is identified on this study. IMPRESSION :1. No abnormality is detected within the pituitary gland.2. An approximately 3.0 mms diameter sized hypointense rim-enhancing lesion in the right fronto-temporal region, just inferior to the frontal horn of the right lateral ventricle most likely represents a granuloma (? calcified, the exact etiology undetermined). As compared to the previous MRI dated 00.00.00 (study no.00008),
there is no significant change.