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Dr. Andrew Rynne

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What does this mean: Findings of convex superior margin of

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Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 1743 Questions

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Posted on Thu, 31 Jan 2019 in Brain and Spine
Question: What does this mean: Findings of convex superior margin of the pituitary gland with proteinaceous/hemorraghic component?
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Answered by Dr. Antoneta Zotaj 1 hour later
Brief Answer:
Detailed explanation of the findings below

Detailed Answer:
Hello,

The pituitary gland is a small gland a little less then 1 cm behind the bones of the nose, a bit deeper in the head. it is a gland that produces many hormones that are important to stimulate other hormones in the body (for the function of thyroid, glands over the kidneys, growth hormones, prolactine, etc). The upper part of it can have different shapes, can be convex in some patients especially in young but can happen in all ages (so it is a normal variant of the norm).
In the examination it is found that there is evidence of presence of proteins and blood in the area of the superior margin.

So to conclude:
- pituitary gland: a gland in the head, behind the nose, responsible for hormone production
- convex superior margin: is generally a normal variant
- proteinaceous/hemorraghic component: presence of protein and blood in the area

Generally bleeding in the pituitary gland is called pituitary apoplexy and is due to bleeding within a tumor in the gland which is mostly a benign tumor. This is generally not a cancer but can cause headaches and also can affect the cranial nerves that go by and may affect the function of the gland reducing the hormone production.

This is an explanation of the meaning of the findings. The clinical importance of them, individually in each patient, depends on the reason why the patient did the test, what kind of test it is (seeing the report would help better), what symptoms the patient has and sometimes other complementing test results might be needed to fully understand what is the clinical importance of these findings in each patient.

I hope I have answered your query. Let me know if I can assist you further.

Kind regards,

Antoneta Zotaj, General & Family Physician
Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. Antoneta Zotaj 12 hours later
Was having severe headaches for consecutive days that won't go away by taking tylenol, mefenamic acid or advil. Thought maybe it is migraine so MRI was taken.
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Answered by Dr. Antoneta Zotaj 13 minutes later
Brief Answer:
Headache is a possible symptom with pituitary gland lesions- clinical importance of these findings in your case need to be determined by the examining doctor

Detailed Answer:
Hello,

As explained above, headache may happen with lesions in the pituitary gland so the MRI shows changes that might be suggestive of a possible tumor there (generally these are not cancer).

On the other hand to better learn if this is something important in your case you will need to continue your follow up visit and checks as the doctor recommends because he might ask for few other tests to see the function of the pituitary gland and determine the proper further steps.

I hope I have answered your query. Let me know if I can assist you further.

I wish you quick improvement and healing.

Kind regards,

Antoneta Zotaj, General & Family Physician

Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Antoneta Zotaj 2 days later
What does this mean: there is an ovoid hypertensity within the pituitary fossa, most likely representing a congenitally prominent neurohypophysis. A reasonable subsequent management option is a contrast-enhanced thin section evaluation of the sella.
doctor
Answered by Dr. Antoneta Zotaj 3 hours later
Brief Answer:
Detailed explanation below

Detailed Answer:
Hello,

- Sella turcica is called the area where the pituitary gland is or lays.
- Contrast enhance thin section evaluation is another MRI but this time will be done with contrast (solution injected intravenously that helps enhance and better visualization of the lesions). MRI dos not release radiation so it can be safely repeated.
- ovoid hypertensity means the doctor has noticed an ovoid mas that looks whiter then the area around, in the previous examination
- neurohypophysis is the posterior part of the pituitary gland (the pituitary gland is also called hypophysis)
- congenitally prominent neurohypophysis means that the posterior part of the pituitary gland might be prominent from birth.

It would be better if you would send (upload) all the examination result (MRI or else) then sending sentences or portions of it one by one. Having all the result and explanation will help us give a more thorough answer and be more accurate then having pieces.

In this case, by the information provided, probably after the first MRI you have done the doctor is asking for a another MRI, this time with contrast enhancement to help better visualization of the pituitary gland to better understand what is the cause of the hypertense (more white) area noticed in the first examination.

I hope I have answered your query. Let me know if I can assist you further.

Regards,
Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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