ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Plmn / F / 34 yrs.
Referred by : Dr. Abc Xyzrdhaman.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O acromegaly with pituitary adenoma. Operated on 00.00.00. Received 30 sittings of radiotherapy.

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 ballooning of the sella. The pituitary gland is seen along the floor of the sella and measures approximately 6.0 mms in height. An approximately 5.0 mms sized extra tissue is noted in the close relation to the optic chiasm and right optic nerve in the suprasellar cistern. The pituitary stalk is minimally pulled to the left. There is slight herniation of the suprasellar cistern and optic chiasm into the sella. The cavernous sinuses are unremarkable. The cavernous segment of the internal carotid arteries show normal flow void signal.

Inflammatory/post-operative changes are noted in the sphenoid sinus and nasal cavity.






A hyperintense signal is seen on the T1 Weighted images in the region just adjacent to the body of the right lateral ventricle and the head of the caudate nucleus on the right side. This is seen to remain hyperintense on the T2 Weighted images and may represent altered blood/paramagnetic substances.

Inflammatory changes are noted in the left middle ear cavity/tympanic membrane.

IMPRESSION :

1. Post-operative status.

2. The pituitary gland is seen along the floor of the sella which is ballooned.

3. Altered blood/paramagnetic substances in the region just adjacent to the body of the right lateral ventricle and the head of the caudate nucleus on the right side.

As compared to the previous MRI (study no:908) dated 00.00.00, there is now altered blood/paramagnetic substances in the region just adjacent to the body of the right lateral ventricle and the head of the caudate nucleus on the right side. There is no significant change in the sella/perisellar region. There is no significant change in the sella/perisellar region.