06-12-2025 4:24 PM
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RA13631752 Alena Johnson
Radiology Ltd.
Radiology Ltd. - La Cholla Tucson, AZ 85741
Phone: (520)733-7226
5960 N. La Cholla Blvd.
ACC: RA13631752
Patient: FORD, AMY R DOB: 05/15/1945 Requesting Provider: Johnson, Alena M, FNPC
MRN: 000034203
DATE OF EXAM: 06/12/2025
EXAMINATION: MR Head Pituitary without and with contrast
CLINICAL INDICATION: Cushing's syndrome.
TECHNIQUE: A combination of FLAIR, T1, T2-, diffusion-, and post gadolinium (7 mL of Dotarem, with 8 mL discarded) T1- weighted images of the head were obtained in multiple imaging planes. Thin-section sagittal and coronal T1-weighted, coronal T2-weighted, and post-gadolinium fat-suppressed T1-weighted images of the pituitary were also performed. The contrast amount documented is the total amount given for all exams that were performed contemporaneously.
COMPARISON: CT head, 06/13/2022, Tucson Medical Center.
FINDINGS: BRAIN PARENCHYMA: No evidence of hemorrhage, mass, or acute infarction. No abnormal enhancement. Mild burden of T2 FLAIR hyperintensities scattered throughout the supratentorial white matter, compatible with sequela of chronic microvascular disease. There is a cystic lesion of the left hypothalamus measuring 5 x 4 mm, with mild mass effect upon the left mamillary body. No associated enhancement or abnormal T2 FLAIR signal. This is most likely a prominent perivascular space or potentially a tiny neuroglial cyst, doubtful clinical significance. Mild/moderate generalized volume loss.
EXTRAAXIAL SPACES/VENTRICULAR SYSTEM: Enlarged ventricles and sulci, commensurate with volume loss. No hydrocephalus. No extra-axial fluid collection. No midline shift /herniation.
SELLAR/SUPRASELLAR REGION: Unremarkable pituitary gland, infundibulum, optic chiasm, cavernous sinuses, and adjacent structures. No evidence of pituitary adenoma.
OTHER: Small left-sided mastoid air cell effusion. Prior orbital lens surgeries. A few tiny paranasal sinus mucosal retention cysts.
IMPRESSION: 1. No acute intracranial abnormality. 2. No evidence of pituitary adenoma. 3. Mild senescent changes of the brain, with mild chronic microvascular disease. 4. Small left-sided mastoid air cell effusion.
Electronically signed by Samuel Rogers M.D., Neuroradiologist
Dictated: 6/12/2025 3:45 PM Signed: 6/12/2025 3:52 PM
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