Date : 00.00.00
hs/bv
Name of the Patient : Abc Xyz Jogllmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella and Perisellar Region.

CLINICAL PROFILE :

C/O invasive pituitary tumor, operated upon in September 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.

OBSERVATION :

There is still seen a mass lesion within the sella, which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images.

There is resultant ballooning of the sellar floor. There is extension of the lesion into the cavernous sinuses bilaterally, with encasement of the cavernous segments of the internal carotid arteries. These vessels however show normal flow-void signal. No suprasellar extension is noted. The pituitary stalk is deviated to the left. The posterior pituitary gland is well identified.

Screening T2 Weighted axial images of the brain do not reveal any significant feature of note.

Inflammatory changes are noted within the right maxillary sinus, frontal sinus and ethmoidal air cells.
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IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. An invasive pituitary adenoma with extensions as already described.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.