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Dr Adi
Dr Adi, Professor
Category: Endocrinology
Satisfied Customers: 440
Experience:  Director of the Pediatric Diabetes Clinics at UCSF.
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What's it mean when MRI results show borderline thickening

Customer Question

What's it mean when MRI results show borderline thickening of pituitary stalk? Is there a certain type of MRI Drs use to follow up with thickened pituitary stalk? Also, if my ACTH was 5.2 and cortisol was 2.4 for base cortisol stim test then 30 minutes after injection cortisol was 17 and 60 minutes it was 19. Even though after injection cortisol was in range do my base ACTH and cortisol before injection indicate possible secondary adrenal insufficiency. Thank you
Submitted: 9 months ago.
Category: Endocrinology
Expert:  Dr. David replied 9 months ago.

This is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 9 months ago.

a thin slice closed MRI scan 3 tesla high resolution brain MRI scan can help look at the pituitary gland more closely

your blood levels don't point to adrenal insufficiency.

have you had your prolactin and thyroid hormone levels checked?

have you consulted with an endocrinologist?

Customer: replied 9 months ago.
I'm hypothyroid and recently found out my am ACTH is 5.2 low. Had MRI of pituitary gland and result was borderline thickening of pituitary stalk. Soo what does this mean?
Expert:  Dr. David replied 9 months ago.

you should see an endocrinologist

it may mean that all of hormones are normal

you don't have a pituitary adenoma.

you may need more blood test to check your pituitary hormones.

you may need more thyroid hormone medications to bring up your thyroid levels.