Pituitary Adenoma - What to Expect?

[OneMoreHour]

Hi, I had an MRI that says this and I am waiting to see the endo but am wondering if I could get any insight into what to expect? Here are the results:

The pituitary stalk is slightly deviated towards the left. There is a CSF intensity region involving the upper posterior portion of the pituitary gland measuring 5/x2 mm which does not enhance. There does appear to be a thin membrane overlying the pituitary gland in this region and it is uncertain if this could be a cyst or small deficiency of the pituitary gland. Just below this is CSF region however there is a hypoenhancing region measuring 4x3x4 mm compatible with a putuitary adenoma.

I've had the following lab tests, reference ranges in brackets:

Prolactin 28.8 (under 25) last tested in December that led to the MRI

The rest were done last week:
TSH 1.16 (0.32-5.04) previous tests of this were 0.64, and 0.81
T4 Free 11.4 (10.6-19.7) previous test was 13.
AM Cortisol 366 (125-536)
WBC 11.2 (4.0-10.0)
RDW 15.6 (11.5-14.5)
Neutrophils 8.0 (2.0-7.5)
Ferritin 17 (15-247)

I left out my other regular blood counts like red and platelet because they're all normal. I have a history of hashimoto's thyroiditis but it's been fine since a partial thyroidectomy a decade ago.

I have been having symptoms I thought were thyroid but he insists its fine and he biopsied some thyroid nodules and they came back benign. The only symptom I get that seems to be pituitary are headaches across my forehead and behind one eye. The others I get are tired, dizzy, cold, heart palpitations and nausea.

Thanks for looking!

[rumpled]

My answer is probably way after your appointment. How did it go? With nausea did they check ACTH?

If a prolactinoma then have you started meds?