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Brain & Nervous System Disorders Message Board


Brain & Nervous System Disorders Board Index


I have had a pituitary tumor for a few years now. I recently went in to pick up my second set / follow up MRI results. The MRI people said they don't know enough to tell me what all this means and I would have to make an appointment with my doctor. They only said there is definitely something else going on but wouldn't say what it was. Clearly I'm worried and want to know what it means ASAP. I'm going to make an appointment with my doctor, but who knows how many days it will be before I get in there. So I'm going to copy the findings down and write them here, if anyone know explain the findings to me in idiot terms, I'd appreciate it very much.

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Procedure: MRI OF THE BRAIN WITHOUT AND WITH CONTRAST
indications: Pituitary adenmoma diagnosed may 2006 - suspect change in pathology

FINDINGS:

There has been an interval decrease in size of the pituitary lesion, which now measures 1.2 x 2.1 x 1.4cm in craniocaudal, transverse, and AP dimensions (compared with 1.7 x 2.3 x 1.7cm). There is an increased T1 signal in the right half of the pituitary lesion with a fluid-fluid level seen on axial T2 weighted images and findings are consistent with intra lesion hemorrhage. There is a rightward deviation of the pituitary stalk, and resolution of the elevation of the optic chiasm. There is some extension into the leftcavernous sinus region posteriorly with inferior displacement of the left carotid flow void. The dorsum sella remains expanded with no cortical destruction identified.

Cortical sulci and ventricles are otherwise of normal size and configuration for patients age. A nonspecific focus of increased T2 and FLAIR signal in the right periventricular white matter noted, which in retrospect is not significantly changed since prior study. No enhancement of this area is identified. Vascular flow voids are unremarkable. The extra ocular muscles appear to be intact. Mild maxilliary and ethmoid sinus disease is noted. No air-fluid levels are identified. The calvarium is intact.


IMPRESSION:

1. Interval decrese in size of pituatary macroadenoma, with new intralesional hemorrhage and persistent displacement of the left carotid artery at the posterior aspect of the cavernous sinus.
2. Stable nonspecific white matter lesion in the right periventricular region. This can be seen in patients with headaces, vasculitis, demyelinating disease and even lyme disease.





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