CEMRI: BRAIN IMAGING SEQUENCES (CEMR) CSelle appears expanded. There is presence of approx 3.1 x 20 x 21 cm sized sellar-Suprasellar region mass seen displaying Isointense signal on both TIW & 12 W images & intense enhancement of post contrast images with few necrotic areas, No evidence of hemorrhage is seen Superiorly lesion is compressing infundibulum and lifting optic chiasm upwards. No obvious suprasellar extension is seen. B/L Cavernous ICA are showing normal caliber and flow void. No obvious retro sellar /Infrasellar extension Is seen Cerebral hemispheres show normal MR morphology, signal intensity and gray-white matter differentiation. The basal nuclei thalami and corpus callosum ato showing normal signal intensity pattern Both lateral ventricles and third ventricle are normal in size shape and outline Septum pellucidum nd falx cerebri in midline. No mass effect or midline shift supratentorial sulcal and cisternal spaces are normally visualized Brain stem and cerebellar hemispheres are showing normal morphology signal intensity and outline. Fourth ventricle is normal in size and midine in position Major intracranial dural venous sinuses are showing normal outline and low void Region of bilateral internal acoustic meatus and cerebellopontine angle are real IMPRESSION: - MRI findings reveal sellar- suprasellar region mass having extensions as described.

Imp:-does it requires operation on urgent basis or can be hold for week or two.
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