Female, 20 years old, with elevated prolactin level. Assess for microadenoma of the pituitary. A T2 hyperintense, T1 hypointense, hypoenhancing lesion is evident within the central aspect of the pituitary gland measuring up to 4 mm TV x 3 mm CC x 5 mm AP. This lesion causes no significant displacement of the pituitary gland from the sella, and the gland is otherwise unremarkable.No suprasellar mass is seen. The visualized portions of the optic apparatus are within normal limits. Significant left maxillary sinus mucosal thickening is seen.
1.A subcentimeter lesion is identified within the pituitary gland which, given the history, could very well represent a microadenoma. 2.Left maxillary sinus mucosal inflammation is noted incidentally.