Diagnosis: Testicular hypofunctionClinical question: ? Pituitary mass lesionSigns and Symptoms: Hypogonadotrophic hypogonadism MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate a mucous retention cyst in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI pituitary:The pituitary gland is appropriate in overall height and morphology. The infundibulum of the pituitary gland is midline. No suprasellar or intrasellar mass is identified. The cavernous sinuses are intact bilaterally.Incidental note is made of partial empty sella.
1.There is partial into sella present but no intrinsic lesion within the territory gland to suggest pituitary adenoma.2.No intracranial mass lesions are appreciated within the brain parenchyma.