ke/hs/rg/nl.
Date : 00.00.00

Name of the Patient : Abc Xyzi Pednlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O amenorrhea since October 0000.
Prolactin level is 260.2 ng/ml.

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 an intermediate signal intensity lesion on the T1 Weighted images involving the anterior pituitary gland. This is near isointense to grey matter on the T2 Weighted images. The lesion appears to involve the stalk and which cannot be identified separately. There is encroachment into the cavernous sinus on the right side with encasement of the cavernous portion of the internal carotid artery which shows normal flow void signal albeit a smaller calibre on all the pulse sequences. Superiorly there is mild indentation upon the optic chiasm and the third ventricle.

The sella is slightly enlarged with remodeling of the sellar floor, especially on the right side.

The left cavernous sinus appears normal. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images.
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Septae are seen in the sphenoid sinus.

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

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal.

IMPRESSION :

The MRI features are suggestive of a pituitary macroadenoma as described.