Date : 00.00.0000
Name of the Patient : Abc Xyz S. lmn / F / 30 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O amenorrhea since 1 year. Detected to have a pituitary adenoma.
For follow up.
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 and T2 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
There is a large well-defined, hypointense lesion in the anterior pituitary gland which measures approximately 1.6 x 1.4 x 0.8 cms. This lesion is hypointense on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Few hyperintense areas are seen within this lesion on the T1 Weighted images and which are seen to turn hypointense on the T2 Weighted images and would represent calcification/bone marrow/protein matter. There is a suggestion of break of the floor of the sella anteriorly (better appreciated on the CT Scan). There also appears to be destruction of the anterior clinoid process.
The posterior pituitary gland appears normal. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinuses are unremarkable.
Septae are noted in the sphenoid sinus.
- 2 - Scan-00006
There is no area of altered signal in the supratentorial or infratentorial brain parenchyma on the T2 Weighted axial images. There is mild fullness of the ventricular system. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The MRI features are suggestive of pituitary macroadenoma measuring approximately 1.6 x 1.4 x 0.8 cms. in the anterior pituitary gland with a break of the floor of the sella anteriorly.
As compared to the previous CT Scan dated 00.00.0000, there is no significant change noted.
A contrast enhanced scan may be worthwhile.