Date : 00.00.00
Name of the Patient : Abc XyzSalam Anlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O occasional headaches.
S/S s/o acromegaly since 1 1/2 years.
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 and T2 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
There is seen an approximately 1.2 x 1.2 x 1.0 cms sized, well-marginated, hypointense mass lesion on the T2 Weighted images in the anterior pituitary gland, more to the left of the midline. This lesion appears iso to slightly hypointense to normal pituitary gland on the T1 Weighted images. Slight convexity of the superior margin of the pituitary gland with mild displacement of the pituitary stalk to the right is noted.
The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The hypothalamus, cavernous sinuses and suprasellar cistern are unremarkable.
The T2 Weighted axial images of the brain do not reveal any significant feature of note.
An approximately 1.2 x 1.2 x 1.0 cms sized, well-marginated, mass lesion in the anterior pituitary gland, more to the left of the midline with signal characteristics as described, most likely represents a pituitary macroadenoma.
A contrast enhanced scan is essential.