question: Dear Doctor, I recently had an MRI Brain and Pituitory to investigate high prolactin (I think around 800)/infertility. The MRI report read as follows: “There is a 6 x 4mm lesion posteriorly in the anterior pituitary just anterior the posterior pituitary bright spot. This lesion is hyperintense on the T2 weighted sequences and hypointense on the T2/FLAIR and SWI sequences consistent with subacute haemorrhage. It does not demonstrate any enhancement. The findings are most consistent with an adenoma with associated intralesional haemorrhage. Findings are not typical for Rathke’s cleft cyst The remainder of the pituitary has a normal appearance with normal enhancement of the pituitary stork and remaining pituitary tissue. The posterior pituitary bright spot is preserved. There is no gross expansion of the sella and no soft tissue extends above the sella into the suprasellar cistern. The optic chiasm has a normal appearance with no evidence of compression and there is no displacement of the pituitary stalk. The adjacent carotid arteries and cavernous sinus have a normal appearance. No other intracranial mass is demonstrated. The ventricles, sulci and cisternal spaces are normal for age and there is normal grey-white matter differentiation. There are several foci of subcortical white matter FLAIR hyperentensity particularly in the frontal lobes which are slightly more numerous than expected for age. These may be an incidental finding but may also be seen in vasculopathies including migrainous vasculopathy. The differential includes chronic microvessal ischaemic change greater than excpected for age. The findings are not typical for demyelination. The posterior fossa structures and craniocervical junction are unremarkable. There is minor mucosal thickening of the anterior ethmoid air cells but the remainder fo the paranasal sinuses are normally pneumatised. My GP has referred me to a neurologist, but the neurologist is currently away and unable to see me for 2 weeks. The neurologist’s receptionist called me and told me not to worry in the meantime, but to go to the hospital if I experience headaches. Meanwhile, I am anxious about the reference to haemorrhage in the MRI report and whether it could be continuing and whether it could possibly be pituitary apoplexy. I don’t have a headache but I do have a feeling of pressure. I would be very grateful if you could take a look at the report (I also have the scans on disk if you need to see those) and tell me: 1.     Whether I might have pituitary apoplexy 2.     Whether it is ok to wait 2 weeks to see the neurologist 3.     What other kinds of tests might help with diagnosis. I have not at this point been prescribed with any medication. Sincerely, Jodie