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sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzum Peshlmn / F / 22 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

H/O transphenoidal excision of pituitary tumor on 00.00.00.
S.Prolactin level - 90.0 ng/ml.
For follow-up.

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.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted sagittal and coronal images.

5 mm thick T1 Weighted axial images (with magnetization transfer) through the brain parenchyma were obtained.

OBSERVATION :

There is still seen widening of the floor of the sella. The anterior pituitary gland measures approximately 1.0 cm in height and shows a concave superior margin. The anterior pituitary gland is of intermediate signal on the T1 Weighted images and appears relatively hypointense on the T2 Weighted images.

The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
..2/.






The suprasellar cistern and the cavernous sinus is unremarkable on either side.

There is no significant abnormality detected in the brain parenchyma on this study.

After administration of contrast, there is homogeneous enhancement of the pituitary gland. No abnormal enhancement is noted in the brain parenchyma or the meninges.

The adenoid glands are slightly prominent.

IMPRESSION :

1. Post-operative status.

2. Widened sellar floor with a 1.0 cm height anterior pituitary gland may suggest a residual pituitary macroadenoma. The anterior pituitary gland however shows concave superior margin.

As compared to the previous MRI dated 00.00.00, there is reduction in the size of the pituitary adenoma.






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