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What do my MRI scan test results indicate?

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Posted on Sat, 7 May 2016
Question: Hello- About 6 months ago I was diagnosed with Autoimmune encephalitis and started on IVIG. I am somewhat better, but they are still trying to find the main source of my new health issues. I just saw an Endocrine for the first time and was changed from Levothyroxine 50 mcg daily to Synthroid 175 mcg. Prior to this, my BP and pulse have been consistently elevated. I have blurred vision, confusion, memory issues, fatigue and nightsweats in addition to multiple other vague symptoms.
I have elevated serum plasma free normetanephrines and a new MRI result that shows "the pituitary gland is mildly enlarged, measuring 9 mm in midline height. The gland may be slightly larger when compared to the prior study".

My big question for you is this. These results were sent to a non-surgical Endocrine doctor 2 hours away in XXXXXXX Ohio and a Head and Neck Oncologist where i live in XXXXXXX Ohio. Both of which coincedentally, gave me "work-in" appointments on the same day! Can you help me decide (before tomorrow) which doctor I should see for my circumstances. I can provide you much more information if you need it?
Thank you- XXXXXXX
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Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
endocrinologist

Detailed Answer:
Hi
Thanks for your query.

It seems your problems are mostly endocrine in nature at present. The pituitary is also part of endocrine system and it does not appear much concerning as per the MRI report.

I don't think head and neck oncologist has anything to offer right now. So I suggest you go ahead with walk-in appointment of endocrinologist.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

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What do my MRI scan test results indicate?

Brief Answer: endocrinologist Detailed Answer: Hi Thanks for your query. It seems your problems are mostly endocrine in nature at present. The pituitary is also part of endocrine system and it does not appear much concerning as per the MRI report. I don't think head and neck oncologist has anything to offer right now. So I suggest you go ahead with walk-in appointment of endocrinologist. Hope this helps. Regards