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hs/ke/n/rg.

Name of the Patient : Abc Xyza Ratilmn / F / 29 yrs.
Referred by : Dr. Abc XyzDesai.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

Known C/O pituitary microadenoma since 0000.
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 and 5 mm thick T2 Weighted sagittal images.

After administration of contrast, the following parameters were used :

3 mm thick T2 Weighted coronal and sagittal images.

The brain was screened with 5 mm thick T1 Weighted axial images.

OBSERVATION :

The superior surface of the pituitary gland on the right side is convex with shift of the stalk to the left side. After administration of contrast, there is a focal non-enhancing area within the pituitary gland on the right side having a diameter of approximately 4.00 mms.

The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The hypothalamus is unremarkable.



There is no focal area of altered signal intensity in the brain parenchyma.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes and septae are noted within the sphenoid sinus.

IMPRESSION :

The MRI features are highly suggestive of a focal lesion within the pituitary gland on the right side and having a diameter of approximately 4.0 mms. This most likely represents a pituitary microadenoma.






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