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sb/bv/rg.

Name of the Patient : Abc XyzBalmn / F / 29 yrs.
Referred by : Dr. Abc Xyzo / Dr. Abc Xyzhah.
Examination : M.R.I. of the Sella and Perisellar Region.

CLINICAL PROFILE :
-
Known C/O pituitary microadenoma.
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.

After administration of contrast, 3 mm thick T1 Weighted sagittal and coronal images were obtained.

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted axial images after contrast administration.

OBSERVATION :

There is still seen a very small, subcentimeter, non-enhancing lesion in the anterior pituitary gland along the floor of the sella, in the midline (scans 107.7-8) This lesion is not well-appreciated on the unenhanced T1 Weighted and T2 Weighted images of the pituitary gland.

The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
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The suprasellar cistern and the cavernous sinuses are unremarkable on either side.

There is no significant abnormality detected in the brain parenchyma. The ventricular system is unremarkable.

There is no other area of abnormal enhancement in the brain parenchyma or the meninges.

Polyps/mucus retention cysts are noted in the left maxillary sinus with mucosal thickening in the right maxillary antrum.

IMPRESSION :

A very small, subcentimeter, non-enhancing lesion in the anterior pituitary gland along the floor of the sella, in the midline as described most likely represents a residual pituitary microadenoma.

As compared to the previous MRI (Study No.00003) dated 00.00.00, there is slight reduction in the size of the lesion.


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