77 years Male (DOB:7/30/1938)Reason: yearly surveillance pituitary lesion- on 3T please History: surveillancePROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD MRI pituitary:The pituitary gland is appropriate in overall height and morphology. The pituitary gland enhances heterogeneously and is predominantly hyperintense in signal. This raises the question of necrosis within the pituitary gland. The infundibulum of the pituitary gland is midline. No suprasellar or intrasellar mass is identified. The cavernous sinuses are intact bilaterally.The right eye lens is thin.
The examination is not changed substantially since the 7/20/2015 exam. The pituitary gland although appropriate in size and morphology has abnormal signal and enhancement pattern. The differential diagnosis would most likely an involuting adenoma, prior pituitary apoplexy, or a resolving pituitary inflammatory process.