HomeAnswersNeurosurgerypituitary adenomaWhat does the MRI show post pituitary macroadenoma surgery?

Can you interpret MRI reports post pituitary macroadenoma surgery?

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Can you interpret MRI reports post pituitary macroadenoma surgery?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At February 8, 2018
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

This query is regarding my husband's health. Three months back, my husband underwent surgery for pituitary macroadenoma. He was advised Hisone steroid tablet for three months. But he has a headache on and off. He has gained 19.8 lbs in three months, though he eats very little. Yesterday, we took the third month follow up MRI (Magnetic Resonance Imaging) scan and I wanted to share below findings in the MRI report. Post-operative changes noted in sphenoid sinus and sellar fossa. Pituitary stalk mildly deviated to the left side. No evidence of enhancing residual and recurrent tumor seen. Polypoidal mucosal thickening noted in bilateral maxillary, ethmoidal, and right frontal sinuses. Also when I look at the scan films, near the pituitary gland few residual part of the tumor is seen. I am requesting you to have a look at my query and respond me how the report looks like. I am more anxious to know about this. Please help me to understand the current status of my husband's health.

Hello, Welcome to icliniq.com.

The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor as per what you have written as part of the MRI report. Hisone (Hydrocortisone) is a steroid supplement for hormonal imbalances, which may occur after pituitary surgery. The so-called 'residual tumor' which you have interpreted may be postoperative changes that are common after pituitary surgery. If the four points that you have written are what was written on the report, then you should not worry. Meet your operating surgeon for further advice regarding Hisone, which may cause weight gain.

Best wishes.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chandan Mohanty
Dr. Chandan Mohanty

Neurosurgery

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