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Thanks for your question.
I am sorry hear about your son's comorbidities.
The heterogenous enhancement may not be clinically significant.
Clinically we look for serum TSH level, serum cortisol and ACTH level, growth hormone level, IGF1 level, testosterone level, prolactin level, LH and FSH level.
The size of pituitary is normal and there is no identifiable lesion.
If the above hormone levels are in noremal range then there is no pituitary problem.
please reply if you have any further question.
TSH 1.13cortisol 6.3,
z score -1.4 ketones +1, prolactin 10.4, what is stage 1, 2-3, and 4-5? what are abbreviations for others?
z-score is to assess osteoporosis or bone loss.
prolactin is normal.
others should be noted as I mentioned above.
stages I am not clear --as this is not associated with prolactin or z score
it says Test stages.
Sorry- "Test name" stages and then there is an "in" and "out" of range column.
ok -- that is the degree of abnormal result only if the values are out of range on the upper side.
Out of range: neg or =10, neg or =6.1, 2.8-11. What does this mean?
do you know the hormone it is being meausred with these ranges?
could it be prolactin tanner stages?
yes that makes sense like tanner stages for prolactin.
there are in and out of range? is my son in or out?
your son is still in the range.
he is in stage 4-5
Last questions- what is the enhancement then? what is there? could it be down his spine (MRI was only of brain). I thought this enhancement would be the answer to the growth issue (He has been monitored by gastro, pedi, endo, since he was three). I do not understand how there is something on the pituitary and he is not growing, but they do not correlate.
Pituitary is a vascular organ with high blood flow.
This will show as enhancement in the MRI.
since there is no lesion, this is a normal finding.
even though the pituitary looks normal, this may still function suboptimally.
His growth hormone level anf IGF1 level should be checked.
growth hormone deficiency has not been checked.
please request for that test.
We need a new endo- I can't believe she did not do IGF1- my son has a growth issue.
yes definitely--I am surprised.
This should be treatable.
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I think I LOVE you!!!! :) Will sleep better tonight- till we see the neurosurgeon next week. Endo wants him to look at MRI.