Pituitary microadenoma

Case contributed by Dr G Balachandran

Presentation

A young female was referred for evaluation of primary infertility. She had elevated serum prolactin level.

Patient Data

Age: 20 years
Gender: Female
MRI

Conventional MR sequences was done Later MR dynamic study for pituitary gland was done The last five images are from dynamic series Each was auquired at 45 seconds interval during the course of injection of contrast agent. The images show a probable microadenoma.

Annotated image

The images show a microadenoma ( yellow arrow ). 

Case Discussion

Care must be taken in interpreting peripheral areas of delayed enhancement in pituitaries when the endocrinological abnormalities are not well defined. "Elevated prolactin" is common (see elevated prolactin - differential diagnosis) and can be due to many different causes. Similarly, infertility has many causes. 

As such prolactin levels need to be obtained to allow appropriate interpretation.

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Case information

rID: 15920
Published: 23rd Nov 2011
Last edited: 29th Jun 2018
Inclusion in quiz mode: Included

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