Clinical question: History of pituitary lesion. Evaluate for change. Signs and symptoms: Breast discharge. Pre- and post enhanced pituitary MRI:Similar to prior exam there is no evidence of a pituitary adenoma.Pituitary gland demonstrate normal signal intensity and morphology and uniform pattern of enhancement. It measures maximum of 3.2 mm in height similar to prior exam from 2014.Pituitary stalk demonstrate normal uniform pattern of enhancement and with midline position.No detectable abnormality of the basal cistern, suprasellar visual complex or hypothalamic region.Unremarkable signal intensity, size and overall pattern of enhancement of cavernous sinuses.Indication cyst in the sphenoid sinus and larger retention cyst in right maxillary sinus are noted.
1.No evidence of a pituitary mass or interval change since prior exam from 2014.2.Retention cysts in the right and sphenoid sinuses is present.