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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My MRI SELLA Suggest?

My wife has done MRI SELLA which says Protocol Axial : T1W:T2W For Brain Coronal : Thin (30mm/0.3mm) T1 & T2W Sections for Sella. Sagittal : Thin (30mm/0.3mm) T1 & T2W Sections for Sella. Sella Turica is normal in size. Pituitary Glans is normal in Size, It measures 3.8mm ub size, It shows normal signal intensity on T1 and T2 scan. Right lobe of adenophysis show normal outline with rounded (4.3x3mm) area along its lateral aspect, It is isointense on T1 and hypersenstive on T2 and is highly suggestive microadenoma. Infunbidular stalks is seen in midline and is normal in thickness and signal intensity. Left lobe of pituitary is normal in height and signal intensity. Posterior pituitary bright spost is normal in location and signal intensity. Both optic nerves and optic chaisma are normal and symmetric in bulk and signal intensity Both cavernous part of TCA show normal flow void The posterior fossa structures including fourth ventricles are normal. The superatentrorial ventricular system is normal and symmetric. No middle shift is seen. The brain parenchyma shows norma signal intensity and gray white matter differntiation. No focal lesion is seen. Both Basal ganglia; thalami and brain stem are normal Cerbral sulci and subarachnoid spaces are normal. NOTE is made of lobulated fat signal intensity lesion in the region ehtmoid plate region. It appears hypersenstive on all sequences s/o dermoid IMPRESSION * Findings are suggestive of Microadenoma Right Lobe of Pituitary Gland. * Normal study for Rest of the Brain. Please correlate clinically.
Thu, 10 Jan 2019
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Neurologist 's  Response
Hi,

Pituitary microadenoma means a small tumor arising in the pituitary gland. For this surgery is not needed. You should get hormonal profile done, including prolactin, GH, IGF-1, TSH, FSH, LH, etc. and medicines may be needed if any of the hormones are abnormal.

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

Regards,
Dr. Sudhir Kumar,
Neurologist
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What Does My MRI SELLA Suggest?

Hi, Pituitary microadenoma means a small tumor arising in the pituitary gland. For this surgery is not needed. You should get hormonal profile done, including prolactin, GH, IGF-1, TSH, FSH, LH, etc. and medicines may be needed if any of the hormones are abnormal. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist