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Old 01-23-2013, 06:52 PM   #1
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Could this be my problem???...or not to worry

MR BRAIN W/O & W/ CONTRAST

Clinical: Headaches and fatigue with history of pituitary gland cyst.

Comparison: Comparison is made to MRI of brain dated 07/05/2011 and
05/24/2005.

Procedure: A dose of 7 mL of ProHance was injected without apparent
complications. Standard MRI sequences were performed without and with
IV contrast.

Findings:

The ventricles are normal in size and position. No masses, mass
effect or midline shift identified. No abnormal extra-axial fluid
collections are seen. No acute intracranial hemorrhage identified.
There is a focal area of increased T2 and FLAIR signal in the medial
aspect of the left frontal lobe which is unchanged when compared to
the previous exam of 07/05/2011. There is a small 3 mm area of
decreased T1 and increased T2-weighted signal within the left
pituitary gland along its superior margin. This is seen on series 7
image #8 and series 12 image #8. This area does not contrast-enhance
and would be most consistent with a pituitary cyst. The pituitary
gland is not enlarged. The cerebellar tonsils are low-lying.

Impression: Stable MRI of the brain since the previous exam of
07/05/2011. No acute process seen.

 
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Old 01-23-2013, 07:02 PM   #2
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Re: Could this be my problem???...or not to worry

But wait....there's more

THYROID ULTRASOUND

Clinical: Fatigue, depression, hypothyroid. .

Comparison: None available

Procedure: Thyroid Ultrasound.

Findings: Thyroid gland is normal in size and echogenicity with the
right lobe measuring 4.5 cm x 1.1 cm x 1.3 cm and the left lobe
measuring 4.3 cm x 0.9 cm x 1.5 cm. Thyroid vascularity is normal.
At the superior pole of the right thyroid lobe there is an
ill-defined isoechoic/hypoechoic nodule that measures 4 mm in size.
No additional thyroid nodule or mass. No anterior cervical
lymphadenopathy.

Impression: Tiny 4 mm nodule within the left thyroid lobe.
Otherwise, normal ultrasound appearance of the thyroid gland.

 
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