56 years Female (DOB:1/29/1960)Reason: 56F with AIDS and cryptococcal meningitis, p/w lethargy, found to have lab e/o adrenal insufficiency and metabolic acidosis, ?pituitary pathology History: 56F with AIDS and cryptococcal meningitis, p/w lethargy, found to have lab e/o adrenal insufficiency and metabolic acidosis, ?pituitary pathologyPROVIDER/ATTENDING NAME: SCOTT V STERN SCOTT V STERN 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.There is T1 and T2 signal hyperintensity centered in the right basal ganglia.
1.There is no pituitary mass or other abnormality that is appreciated.2.A lesion is present in the right basal ganglia. It is not clearly defined on this exam. Given the suspicion for cryptococcal meningitis, this may be related to cryptococcal meningitis. An MRI of the brain with gadolinium may help confirm define this better if clinically indicated.