Date : 00.00.00
Name of the Patient : Abc Xyz Mujahid Hulmn / M / 25 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Pituitary.
CLINICAL PROFILE :
H/O hypothyroidism with short stature.
X-ray skull revealed enlarged sella.
M.R.I of the pituitary was performed using the following parameters :
5 mm thick T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted and T2 Weighted sagittal images.
The anterior pituitary gland is bulky with a convex superior surface and measures 11.0 mms in its height. The pituitary stalk is in the midline. The cavernous sinuses are unremarkable.
The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The hypothalamus is unremarkable.
There is prominence of the cerebellar folia bilaterally with slight fullness of both the lateral, third and fourth ventricles.
There is no focal area of altered signal intensity in the brain parenchyma.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of mucosal thickening in both the maxillary sinuses.
1. Bulky anterior pituitary gland with a convex superior surface measuring 11.0 mms in its height, is suggestive of a tumor of the anterior pituitary gland.
A contrast enhanced scan would be worthwhile.
2. Cerebellar atrophy with slight fullness of both the lateral, third and fourth ventricles.