MRI of the sella without and with contrast

History:

Technique: MRI of the sella without and with contrast

Contrast:  ContrastDose1 mL Contrast1  ContrastAdminRoute1  

Comparison:

Result:

A focal mass focal mass:is/is not present at the Side:left/right/central/NA aspect of the pituitary.

Borders are borders:well-defined/ill-defined/NA.

Without contrast, relative to the normal pituitary, lesion is T1  T1 intensity:hyperintense-fat/hyperintense-not fat/heterogeneously hyperintense/hypointense/NA/isointense and T2 T2 intensity:hyperintense/heterogeneously hyperintense/hypointense/isointense/NA.

With contrast, relative to the normal pituitary, lesion is postcontrast signal:hypoenhancing/isointense/hyperenhancing/heterogeneously enhancing/NA.

Maximum size in three dimensions is AP mm AP x transverse mm transverse x craniocaudal mm craniocaudal.

Suprasellar extension suprasellar extension:is present anteriorly/is present posteriorly/is present on the left/is present on the right/is not present. Suprasellar extension demonstrates suprasellar extension configuration:a snowman configuration (extends through the diaphragma sella)/dural extension/NA. Suprasellar extension is chiasm:prechiasmatic/postchiasmatic/NA.

CN2 CN2:is compressed/is not compressed at the segment:optic chiasm/cisternal segment/optic radiation/NA. Optic pathway optic pathway abnormal signal:demonstrates/does not demonstrate abnormal signal.

Cavernous sinus extensioncavernous sinus:is present/is not present/NA. Extension into the cavernous sinus is carotid artery:medial to the cavernous internal carotid artery/extends up to the midpoint of the cavernous ICA (Knosp Grade 1)/extends beyond the midpoint of the cavernous ICA but not beyond the lateral margin of the cavernous ICA (Knosp Grade 2)/extends beyond the lateral aspect of the cavernous ICA into the superior cavernous sinus compartment (Knosp Grade 3A)/encases the cavernous ICA (Knosp Grade 4)/NA/extends beyond the lateral aspect of the cavernous ICA into the inferior cavernous sinus compartment (Knosp Grade 3B). Encasement of the internal carotid artery is carotid encasement:partial/complete/NA. Internal carotid artery is patency:patent/not patent.

The mass sphenoid sinus:extends into/does not extend into the sphenoid sinus and clivus:extends into/does not extend into the clivus.

Infundibulum is infundibulum location:midline/left/right/anterior/posterior/not seen and size is infundibulum size:normal/enlarged/NA. Infundibulum infundibulum enhancement:enhances/does not enhance/NA.

Posterior hypophysis bright spot posterior bright spot:is present/is not present/is ectopic.

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not</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="242" length="26"><name>Side</name><choices><choice name="">left</choice><choice name="">right</choice><choice name="">central</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="307" length="35"><name>borders</name><choices><choice name="">well-defined</choice><choice name="">ill-defined</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="411" length="105"><name>T1 intensity</name><choices><choice name="">hyperintense-fat</choice><choice name="">hyperintense-not fat</choice><choice name="">heterogeneously hyperintense</choice><choice name="">hypointense</choice><choice name="">NA</choice><choice name="">isointense</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="524" length="80"><name>T2 intensity</name><choices><choice name="">hyperintense</choice><choice name="">heterogeneously hyperintense</choice><choice name="">hypointense</choice><choice name="">isointense</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="666" length="88"><name>postcontrast signal</name><choices><choice name="">hypoenhancing</choice><choice name="">isointense</choice><choice name="">hyperenhancing</choice><choice name="">heterogeneously enhancing</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="2" start="793" length="2"><name>AP</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="2" start="804" length="10"><name>transverse</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="2" start="831" length="12"><name>craniocaudal</name><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="884" length="128"><name>suprasellar extension</name><choices><choice name="">is present anteriorly</choice><choice name="">is present posteriorly</choice><choice name="">is present on the left</choice><choice name="">is present on the right</choice><choice name="">is not present</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1049" length="117"><name>suprasellar extension configuration</name><choices><choice name="">a snowman configuration (extends through the diaphragma sella)</choice><choice name="">dural extension</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1193" length="38"><name>chiasm</name><choices><choice name="">prechiasmatic</choice><choice name="">postchiasmatic</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1238" length="35"><name>CN2</name><choices><choice name="">is compressed</choice><choice name="">is not compressed</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1281" length="57"><name>segment</name><choices><choice name="">optic chiasm</choice><choice name="">cisternal segment</choice><choice name="">optic radiation</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1354" length="63"><name>optic pathway abnormal signal</name><choices><choice name="">demonstrates</choice><choice name="">does not demonstrate</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1461" length="44"><name>cavernous sinus</name><choices><choice name="">is present</choice><choice name="">is not present</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="1545" length="527"><name>carotid artery</name><choices><choice name="">medial to the cavernous internal carotid artery</choice><choice name="">extends up to the midpoint of the cavernous ICA (Knosp Grade 1)</choice><choice name="">extends beyond the midpoint of the cavernous ICA but not beyond the lateral margin of the cavernous ICA (Knosp Grade 2)</choice><choice name="">extends beyond the lateral aspect of the cavernous ICA into the superior cavernous sinus compartment (Knosp Grade 3A)</choice><choice name="">encases the cavernous ICA (Knosp Grade 4)</choice><choice name="">NA</choice><choice name="">extends beyond the lateral aspect of the cavernous ICA into the inferior cavernous sinus compartment (Knosp Grade 3B)</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="2119" length="38"><name>carotid encasement</name><choices><choice name="">partial</choice><choice name="">complete</choice><choice name="">NA</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="2186" length="25"><name>patency</name><choices><choice name="">patent</choice><choice name="">not patent</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="2223" length="48"><name>sphenoid sinus</name><choices><choice name="">extends into</choice><choice name="">does not extend into</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="2295" length="40"><name>clivus</name><choices><choice name="">extends into</choice><choice name="">does not extend into</choice></choices><customproperties><property><name>AllCaps</name><value>False</value></property><property><name>AllowEmpty</name><value>False</value></property><property><name>ImpressionField</name><value>False</value></property><property><name>DoesNotIndicateFindings</name><value>False</value></property><property><name>FindingsCodes</name><value></value></property><property><name>EnforcePickList</name><value>False</value></property></customproperties></field><field type="3" start="2365" length="68"><name>infundibulum location</name><choices><choice name="">midline</choice><choice name="">left</choice><choice name="">right</choice><choice name="">anterior</choice><choice name="">posterior</choice><choice name="">not 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