Patient's Query
Hi doctor,
I have high prolactin levels and repeatedly had blood tests that showed high prolactin levels. And also, I wanted a second opinion on my MRI results.
The report says "there is no definite pituitary lesion, 3.5 mm focus relatively reduced enhancement within the midline just below the level of pituitary infundibulum present on all dynamic phases but delayed post-contrast sequences, however unlikely of clinical significance".
Kindly tell me what this means.
Hello,
Welcome to icliniq.com.
I went through your query and understood your concern.
For high prolactin levels, we look for pituitary gland enlargement in the MRI (magnetic resonance imaging) report to rule out any pituitary gland tumor that causes high prolactin levels and other symptoms like headache, visual disturbances, etc. In your case, no enlargement is seen, meaning the pituitary gland is normal (attachment removed to protect the patient's identity). So high prolactin levels can be managed with medical treatment that I think you must be taking.
Usually, Cabergoline (Dopaminergic medication) is the recommended medication for this condition. Apart from this, if you are on any other medication, it has to be evaluated whether they cause high prolactin levels or not.
I hope this helps you.
Take care.
Patient's Query
Hi doctor,
Thank you for your reply.
I am concerned about what the following sentence mentioned in the MRI report means, "however unlikely of any clinical significance," at the end of the sentence. Does this mean there is something different or abnormal?
Please help.
Hi,
Welcome back to icliniq.com.
As they have mentioned, a 3.5 mm focus in the MRI (magnetic resonance imaging) is below the level of the pituitary infundibulum, but that is not consistent with any enlargement or tumor. Sometimes some areas in the brain uptake information differently than others, but that does not mean there is some pathology. So this 3.5 mm focus is not a pathological lesion nor the reason for any disease. That is why it has been mentioned that it is of no clinical significance.
So overall, this MRI report is normal, and no intervention is required. So relax.
I hope this helped you out.
Take care.
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