Name of the Patient : Abc Xyzrlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar region.
CLINICAL PROFILE :
S. Prolactin - 515.0 ng/ml.
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.
There is evidence of a mass lesion within the anterior pituitary gland on the right side. This lesion is near isointense to gray matter on all the pulse sequences. There is slight deviation of the pituitary stalk to the left. Mild encroachment into the right cavernous sinus cannot be excluded. The cavernous portion of the right internal carotid artery however shows normal flow void signal on all the pulse sequences. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images.
Septae are seen within the sphenoid sinus.
The hypothalamus is unremarkable. The optic chiasm is unremarkable.
Incidental note is made of enlarged adenoids.
The MRI features are suggestive of a mass lesion in the anterior pituitary gland as described and may represent a macroadenoma.
A contrast enhanced scan may be worthwhile.