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Brain & Nervous System Disorders Message Board

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MRI results ?
Aug 20, 2004
I posted previously about maybe having a pituitary tumor and I have now had an MRI and am going to see an endocranologist (sp?). I was wondering if there was anyone out there that could put this MRI report into plain words that I can understand and let me know what problems these tumors and cyst could cause along with what to expect. As of now my symptoms are no mensus, problem since I was 16, now 27, but is controlled with the estrogen BC pills, infertility, migrain headaches, one pupil will dialate sometimes, I get dizzy and nautious alot. I really appreciate any info you can offer me. Here are the results:

On the coronal post-contrast T1 weighted image a 5 mm area of decreased signal is seen in the left lateral aspect of the pituitary gland. This area demonstrates no focal signal abnormalities on the precontrast T1 weighted images. On the sagittal post-contrast images, there is a questionable rounded area of decreased signal intnsity in the more posterior aspect of the pituitary gland. Pituitary gland is not enlarged. The infundibulum is midline. It has an essentially horizontal superoir margin. The suprasellar cistern and optic chiasm are unremarkable.

Ventricular system and subarachnoid cisterns are intact. Midline structures are not displaced.

Flow voids at the circle of Willis and major Venus sinuses are unremarkable. The mastoid air cells are clear. A 2.5 [U][B]cm.[/B][/U] mucous retention cyst or polyp is seen in the right maxillary recess. The paranasal sinuses are otherwise unremarkable.

Skull base structures including the clivus and jugular foramina are unremarkable. No orbital masses are seen.

1. There is heterogeneous enhancement of the pituitary gland as described above. Small rounded areas of decreased enhancement are seen in the left lateral aspect and poterior aspect of the gland. Small pituitary microadenoma/microadenomas. Clinical correlation is warranted. Pitituary gland is otherwise unremarkable, as is the remainder of the intracerebral structures.
2. Large mucous retention cyst or polyp in the right maxillary recess.

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