OpenHealth Q&A

Get answered by medical professionals

Seeking Clarification on My MRI Results

2/11/2026, 4:30:24 PMMale25-34

I want to preface this by mentioning that this information is not recent. I have already received a diagnosis and undergone treatment. Back in February 2024, while I was 34, my gynecologist raised concerns about a possible pituitary tumor after noticing elevated prolactin levels in my blood. As it turns out, she was right; subsequent MRI results confirmed her suspicions—remarkably, it was my gynecologist who made this connection, not my endocrinologist whom I have seen for years. While sifting through my old files, I stumbled upon my MRI images from that time, and I just realized that I’ve never actually had them explained to me. I’m uncertain about how to interpret what I see. The only detail I recall is that they mentioned a size of 4mm. Is there anyone who could help me identify the tumor on the images? I still have it, and amusingly, my husband has affectionately named it Herbie. I would appreciate any assistance in understanding what I’m looking at. Thank you all for your support!

Thyroid DisordersInternal MedicineEndocrinology

Answers (1)

Cony

2/11/2026, 4:30:53 PM

OpenHealth AI

It sounds like you've had quite a journey managing your health, and it's great that you're seeking clarity about your MRI results. Understanding your medical images, particularly after a diagnosis of a pituitary tumor, can be important for your peace of mind and ongoing management.

Main Points:

  1. MRI Findings: The MRI confirmed a 4mm tumor on your pituitary gland, likely related to your elevated prolactin levels.
  2. Understanding the Tumor: Typically, a pituitary tumor (often called a prolactinoma when associated with high prolactin levels) can be benign and treatable, but it’s essential to understand its implications.

Explanation:

The pituitary gland is a small, bean-shaped gland located at the base of your brain that plays a crucial role in hormonal regulation in your body. A 4mm tumor in this area is considered relatively small. The most common type of pituitary tumor related to high prolactin levels is a prolactinoma, which is benign and often responds well to medication.

Next Steps:

  1. Review the MRI Images: While I can't interpret the MRI images directly, look for any labeled findings indicating the tumor's location (usually the bottom part of your brain). Common identifiers include the pituitary fossa or the sella turcica.

  2. Link with Your Previous Reports: Cross-reference your MRI with any reports from your doctor. They often contain descriptions of findings, like "the lesion is well-defined" or "no acute changes," which can give you clues about its nature.

  3. Document Your Questions: Write down any specific questions or concerns you have. This could include inquiries about potential treatment options or what to expect moving forward regarding management.

  4. Discuss with Your Endocrinologist: Make a follow-up appointment with your endocrinologist. Share your images and notes, and ask them to explain the MRI findings in detail. This is an excellent chance for you to clear up any uncertainties.

  5. Regular Monitoring: Since you’re already aware of the condition, ensure you're also monitoring your symptoms and lab results regularly to manage prolactin levels effectively.

It’s commendable to maintain your curiosity about your health. Seeking answers is a critical part of managing your condition. If you find any specific details or questions while reviewing your materials, feel free to share them here for more tailored guidance.

Related Questions

Sudden Discomfort in a Tumor

At 18 years old and assigned female at birth, I received a diagnosis of a non-cancerous breast tumor approximately a year ago. While I can't recall the precise details about the diagnosis, the recommendation was to leave it alone and return for regular follow-ups. Unfortunately, I missed my last appointment, and the soonest available date for a reschedule is several months away. Since first discovering the tumor in late 2024, I have experienced no discomfort related to it. However, last night was different; I found it quite painful to lie on my sides, and the sensation intensified as the night wore on. This morning, I woke up to a feeling of heaviness and persistent ache. It seems to me that the tumor might be enlarging, and I am unsure if such symptoms are typical for benign tumors. Previously, any pain I experienced was sharp but fleeting, making this ongoing discomfort particularly concerning.

FibromyalgiaThyroid DisordersInternal Medicine
Male25-34
18 minutes ago

Unexpected Discovery of a Liver Lesion

Today, I underwent an abdominal ultrasound, initially seeking a solution for what I believed to be gallbladder discomfort. As it turns out, I was right; I do have gallstones. However, the ultrasound also revealed a liver lesion, which has understandably caused me considerable anxiety. I’m sharing this experience to see if anyone else has encountered a similar situation that ultimately turned out to be benign. **Findings Overview:** 1. An indeterminate lesion on the right side of the liver has been noted. It is suggested to have a non-urgent MRI of the liver, with and without contrast, for further evaluation. 2. The presence of gallstones was confirmed, but there are no signs of obstruction in the biliary ducts or acute cholecystitis as indicated by the ultrasound results. Clinical correlation is advised. **Reason for Examination:** Right upper quadrant pain (R10.11). **Comparison Date:** August 28, 2021. **Method:** Transabdominal ultrasound performed on the right upper quadrant. **Analysis:** The pancreas could not be adequately assessed due to obscuration. The aorta and inferior vena cava appeared normal in caliber upon imaging. The liver is within normal size limits with a generally smooth outline. A lesion located in the posterior right lobe of the liver shows mixed echogenicity measuring 3.3 x 3.1 x 2.9 cm, which is indeterminate based on ultrasound findings. The common bile duct is of normal size, measuring 3 mm. There is noticeable hepatopetal flow in the main portal vein. Gallstones are present in moderate amounts, yet there is no evidence of fluid around the gallbladder or sonographic Murphy's sign. The gallbladder wall thickness measures 2 mm. The right kidney dimensions are 10.2 x 4.1 x 4.8 cm, showing no focal lesions or signs of hydronephrosis, and no free fluid is detected.

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
27 minutes ago

Concerns About Abdominal Pulsation

Hello everyone, I'm reaching out for some comfort from those who might have faced something similar to my situation. **Age:** 23 **Gender:** Male **Height:** 186 cm **Weight:** 90 kg **Medications:** None **Smoking Status:** Non-smoker **Medical History:** Asthma **Symptoms Overview:** For approximately two years, I’ve noticed a visible pulsation in my abdominal area, particularly just beneath my stomach. I've got a bit of extra fat around my midsection, yet the pulsation remains apparent. Fortunately, there’s no associated pain or other symptoms. Occasionally, it seems to diminish slightly, but it’s persistent regardless of my body position. Two years ago, I underwent an ultrasound, and the physician indicated that everything appeared normal. Nevertheless, I still have concerns that it may be connected to an aortic aneurysm. Has anyone else experienced this phenomenon over a lengthy period, and it turned out to be benign?

AsthmaCOPDInternal Medicine
Male25-34
48 minutes ago

Navigating an Uncertainty: Seeking Clarity on Health Struggles

I have a lot of information to share, and I want to ensure you grasp every detail! **A bit about myself**: I’m a 29-year-old female, carrying around 10 extra pounds. This situation began unexpectedly around February 2024. I rarely drink—perhaps once a year—and I do not smoke. Occasionally, I consume a low-dose edible, but there can be months where I don’t partake at all. **Medical background**: I have been diagnosed with several conditions including gastroesophageal reflux disease (GERD), hypothyroidism, type 2 diabetes (which is managed), mixed hyperlipidemia, polycystic ovary syndrome (PCOS), non-alcoholic steatohepatitis (NASH), tachycardia, anxiety, bipolar disorder type II, and autism. **Current medications**: My medication regime consists of *Rybelsus* 3mg, *Nikki*, *Rosuvastatin Calcium* 5mg, *Levothyroxine* 50mg, *Voquezna* 20mg, *Spironolactone* 25mg in the morning and evening, *Lamictal* 150mg twice a day, *Propranolol* 20mg taken day and night, *Trintellix* 20mg, along with *Hydroxyzine* and *Zofran* as needed. I have just recently begun taking Rybelsus. **Gastrointestinal concerns**: - I experience persistent nausea and rely on medication daily to manage it. - I have episodes of vomiting, often occurring at night. I can predict the onset, as I shake, my nose runs, I get goosebumps, feel the urge to use the restroom (though I never actually do), and then I vomit repeatedly until all that’s left is bile. This can happen almost daily, or as infrequently as a few times per month. - Nearly everything I consume causes discomfort in my stomach. - I infrequently have regular bowel movements. **Dermatological issues**: - I suffer from intense itching that seems to spike 1-2 times a month, typically lasting around five days. During these episodes, I scratch to the point of pain. - My tattoos and scars often appear raised and bumpy. - Symptoms tend to escalate when I’m unwell or after a hot shower or bath. - Such reactions can also occur without clear triggers. **Other health challenges**: - I am continually fatigued, and my energy diminishes even further when I go out. Engaging in activities for a single day can leave me bedridden for a week. Simple tasks feel overwhelmingly taxing. - I struggle with generalized body pain; sitting at my desk for extended periods is painful. - I frequently feel weak. - Most of my days are spent feeling dizzy, with many instances of stumbling due to lightheadedness. - The pain is particularly acute in my legs. - I find it difficult to stay warm. - Daily heart palpitations are a common occurrence. - My nails, especially my toenails, are extremely fragile and tend to break easily. **Medical evaluations undertaken**: I’ve undergone multiple endoscopies, cortisol tests, MRIs of my brain, CT scans with and without contrast, regular blood tests, celiac disease screenings, a gastric emptying study, and a swallow test. I consult a primary care physician who appears perplexed and somewhat unmotivated, along with a gastroenterologist who has referred me to a prominent hospital as she feels uncertain about how to proceed. **Additional notes**: I have experimented with medication adjustments—trying to cease, reduce, or switch them—as well as different diets. My weight has fluctuated between a little overweight and a healthy range; the onset of my symptoms wasn’t triggered by any medication or lifestyle change. I have used a continuous glucose monitor (CGM) with no notable link to my blood sugar levels, and I receive annual ultrasounds for my thyroid. This situation has profoundly affected my daily life, often confining me to bed due to fatigue or illness. I’ve faced several emergency room visits owing to dehydration, and I have previously tried three other GLP-1 medications that exacerbated my issues. Additionally, I had my gallbladder removed in 2019.

Thyroid DisordersEndocrinologyRheumatology
Male25-34
1 hour ago

Query Regarding a Lump Near My Ear

I’m a 28-year-old female, a non-smoker, and I have no significant past health issues or ongoing medications. I am seeking some input about a lump located beneath my ear. Though I have an appointment with my doctor scheduled for next week, I thought I would reach out to see if anyone here has any thoughts on what this might be. I first detected it approximately two months ago, and I don’t believe it has changed in size since then, at least based on my observations. It’s possible that it's been there for a longer duration, but that period is when I actually became aware of it. I tried to highlight it by shifting my jaw to the opposite side to reveal it more clearly, as it’s not very noticeable when my jaw is at rest. The lump feels firm, but I think I can shift it slightly from side to side. It isn’t painful at all, and honestly, if I weren’t so focused on it, I could easily forget about it. For some context, around four months ago, I fractured a tooth on that same side and had it removed about six weeks back, so I’m curious if there’s any connection. Additionally, I should clarify that the title should indicate a lump under the ear (singular); there is nothing apparent on the other side. However, if I press quite deeply, I might sense something similar, but it feels smaller and deeper. Thank you for any insights you can provide!

LupusInternal MedicineRheumatology
Male25-34
1 hour ago