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Male | 70

Pituitary Adenoma with Ischemic Changes: MRI Report

Dear Sir, Below i am sending my father MRI report, kindly guide me. MRI REPORT – BRAIN WITH CONTRAST TECHNIQUE: T1W Sagittal, DWI - b1000, ADC, GRE T2W FS Axial, MR Angiogram, FLAIR Axial & Coronal Post contrast images after administration of 5 ml of gadolinium contrast. OBSERVATION: The study reveals an intrasellar mass lesion, with enlargement of the right half of the anterior pituitary gland, extending to the suprasellar cistern. The mass lesion is predominantly isointense to gray matter on T1-weighted images. On T2-weighted images the mass is predominantly isointense to gray matter with internal areas of T2 hyperintensity suggestive of ?necrosis/cystic change. Dynamic postcontrast images revealed decreased/delayed enhancement of the mass lesion as compared to the rest of the pituitary gland. The mass lesion measures 1.2 AP x 1.6 TR x 1.6 SI cm. Superiorly the mass displaces the infundibulum to the left side. A clear CSF plane of cleavage is seen between the superior aspect of the mass lesion and the optic chasm. No significant parasellar extension of the mass lesion is seen. The cavernous segment of both internal carotid arteries show normal flow void. The mass causes mild thinning of the floor of the sella turcica, with slight bulge toward the roof of the sphenoid sinus. MR findings likely represent pituitary adenoma. Confluent and discrete areas of T2/flair hyperintensity are seen in bilateral supratentorial periventricular and subcortical deep white matter, likely representing nonspecific ischemic changes with a combination of leukoariosis, microvascular ischemic changes, lacunar infarcts and prominent perivascular spaces. Basal ganglia and thalami are normal. Midbrain, pons and medulla are normal in signal intensity. The cerebellum appears normal. Bilateral CP angle cisterns are normal. The ventricular system and subarachnoid spaces are normal. No significant midline shift is seen. The cranio-cervical junction is normal. Post-contrast images reveal no other abnormal enhancing pathology. Bilateral maxillary sinus polyps are noted.

1 Answer

Answered on 23rd May '24

THE MRI SHOWS a mass lesion in the pituitary gland. It measures 1.2x1.6x1.6 cm and causes mild thinning of the sella turcica floor . Post-contrast images reveal delayed enhancement of the mass, suggesting PITUITARY ADENOMA.. Bilateral maxillary sinus polyps are noted . ISCHEMIC CHANGES with leukoariosis, microvascular ischemia, lacunar infarcts, and perivascular spaces are present .. Basal ganglia, thalami, and brainstem are normal ..For detailed discussion and treatment plan need to visit a neurosurgeon.

83 people found this helpful

Questions & Answers on "Neurology" (790)

I am 25 years old lady...I am suffering from headache from 15 days...I got my cbs report..but I can't understand..plzz help to to understand everything iss good or not

Female | 25

Even if the blood count is normal, it is still important to investigate other potential causes. Drink the right amount of water regularly, follow a nutritious balanced diet, and rest enough to feel well. You may also try to use over-the-counter painkillers that may provide temporary relief while your body is healing. Nevertheless, if your migraine is persisting and even aggravating, kindly seek the advice of a doctor. 

Answered on 5th Dec '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Is there a permanent treatment for Parkinson disease

Male | 61

As of now there's no permanent cure for Parkinson's disease..But there aare also various treatments to imporve the quality of life

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I have bilateral hippocampal hypertension Any treatment needed

Female | 17

Bilateral hippocampal hypertension refers to raised pressure on both sides of the hippocampus in the brain. This can be unveiled by memory failure, headache, or seizures. At other times, high blood pressure is the usual cause. One possible solution is to change one's lifestyle to include a healthier diet and fewer quiet periods. Medications may also be recommended to bring the pressure under control and alleviate the symptoms.

Answered on 21st June '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Prostrate gland enlargement treatment

Male | 63

Prostate gland enlargement treatment depends on the severity of symptoms and whether or not a person is generally healthy. Mild cases can be treated with lifestyle changes and medications, while severe cases may need to undergo surgery. A health professional should be sought for proper evaluation and treatment.

Answered on 23rd May '24

Dr. Neeta Verma

Dr. Neeta Verma

Iam 36 year old female.iam having throbbing pain in left head temple.what wrong

Female | 36

The pain you feel could be caused by stress, not enough sleep, or even dehydration. Try to drink water, lie down in a calm place, and massage your temples gently. If it doesn’t go away or gets worse than before please consult with your doctor immediately.

Answered on 30th May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Iam 28 years Female. I took antidepressants for one month. After that iam facing jerking movement sensation in face and head.

Female | 28

The jerking movement sensations are a side effect of the antidepressant medication.Talk to your doctor they may recommend adjusting your dose or switching to a different medication. Donb't stop taking antidepressants without medical supervision as the discontinuation can lead to withdrawal symptoms.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I am going through Autonomic nervous system disorse, Whole body weakness, Heaviness, Middle of chest weakness, Depression because of it..

Male | 39

Autonomic nervous system disorders can have various causes, and a comprehensive assessment is necessary for accurate diagnosis and tailored treatment .DEPRESSION can be a result of chronic illness. Seek medical attention for diagnosis and treatment options. 

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Dear Sir, Below i am sending my father MRI report, kindly guide me. MRI REPORT – BRAIN WITH CONTRAST TECHNIQUE: T1W Sagittal, DWI - b1000, ADC, GRE T2W FS Axial, MR Angiogram, FLAIR Axial & Coronal Post contrast images after administration of 5 ml of gadolinium contrast. OBSERVATION: The study reveals an intrasellar mass lesion, with enlargement of the right half of the anterior pituitary gland, extending to the suprasellar cistern. The mass lesion is predominantly isointense to gray matter on T1-weighted images. On T2-weighted images the mass is predominantly isointense to gray matter with internal areas of T2 hyperintensity suggestive of ?necrosis/cystic change. Dynamic postcontrast images revealed decreased/delayed enhancement of the mass lesion as compared to the rest of the pituitary gland. The mass lesion measures 1.2 AP x 1.6 TR x 1.6 SI cm. Superiorly the mass displaces the infundibulum to the left side. A clear CSF plane of cleavage is seen between the superior aspect of the mass lesion and the optic chasm. No significant parasellar extension of the mass lesion is seen. The cavernous segment of both internal carotid arteries show normal flow void. The mass causes mild thinning of the floor of the sella turcica, with slight bulge toward the roof of the sphenoid sinus. MR findings likely represent pituitary adenoma. Confluent and discrete areas of T2/flair hyperintensity are seen in bilateral supratentorial periventricular and subcortical deep white matter, likely representing nonspecific ischemic changes with a combination of leukoariosis, microvascular ischemic changes, lacunar infarcts and prominent perivascular spaces. Basal ganglia and thalami are normal. Midbrain, pons and medulla are normal in signal intensity. The cerebellum appears normal. Bilateral CP angle cisterns are normal. The ventricular system and subarachnoid spaces are normal. No significant midline shift is seen. The cranio-cervical junction is normal. Post-contrast images reveal no other abnormal enhancing pathology. Bilateral maxillary sinus polyps are noted.

Male | 70

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I am 48 years old male...I have severe headache from tomorrow morning. I have taken some pain killers but feel no relief.what could I do now.

Male | 48

Headaches are one of the most common health problems, and they can be brought about by stress, lack of sleep, dehydration, and so on. Now that the medications you consumed are no longer effective, how about if you would like to use relaxation techniques such as deep breathing, drinking water, or applying a cold compress to your head? 

Answered on 2nd Dec '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Right side C3-C4 dumbbell Schwannoma, please refers treatment to reduce the tumor.

Male | 37

SURGERY is the most effective treatment for Schwannoma. The goal is to remove the entire tumor.. If the tumor is too large or is in a difficult location, RADIATION THERAPY may be an option. There are also MEDICATIONS that can be used to alleviate symptoms. It's important to consult a specialist in treating this type of TUMOR... Recovery time varies, but most people can resume their normal activities within a few weeks... Regular follow-up appointments will be necessary to monitor the tumor's growth...India has some of the best hospitals to treat this type of issues, find the beast feasible location for you

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Urgent- I am 53 old male with history of restless leg syndrome from approx. 20 years. With time it as become more severe as because I can’t sleep for many nights. By advance diagnosis doc discover i lack in dopamine production. I am having depressing thoughts .. can u give me promising treatment?

Male | 53

No single "promising treatment" will work for everyone with restless leg syndrome. Commonly recommended treatments include medications, lifestyle changes, and physical therapies. Medications and treatments can be prescribed only after a proper diagnosis. Rest you should avoid caffeine, alcohol, and tobacco to reduce the severity of symptoms. Physical therapies such as stretching, massage, and yoga can help relieve muscle tension and improve sleep quality. It is also important to discuss any feelings of depression with your doctor and consider seeking therapy or counseling.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

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