Close
16th September 2024
A 35-year-old female presents to the hospital feeling tired, dizzy, experiencing a lack of menstruation
A 35-year-old female presents to the hospital feeling tired, dizzy, experiencing a lack of menstruation and being unable to breastfeed 8 months after the birth of her second child. She had a history of excessive blood loss during delivery, requiring ICU support for 3 weeks. On examination, she appeared pale with no pigmentation, had a systolic blood pressure of 100/70 mmHg with a deficit of about 20 mmHg upon standing after 5 minutes. Her breast examination was normal, with no palpable lymphadenopathy. Blood results are shown below.
| Haemoglobin | 100 g/l (130-170) |
| Sodium | 128 mmol/l (135-146) |
| TSH | 4 mU/l (0.38 -5.33) |
| Free T4 | 13 pmol/l (7.9-14.4) |
| ACTH | 10 pg/ml (10-60) |
| Cortisol 9am | 130 nmol/l (171-536) |
| Prolactin | 120 mIU /l (<700) |
| LH (luteal phase) | 5.0 IU/l (0.5-14) |
| FSH (luteal phase) | 4.9 IU/l (1.0-11) |
Given the blood tests results above and thinking about the likely diagnosis, what MRI pituitary findings are most likely expected in this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
