# #513 Pituitary Incidentalomas

An episode of [The Curbsiders Internal Medicine Podcast](https://invisiblenetwork.ai/podcast/1198732014), 2 Feb 2026, 1 h 18 min.

Audio: https://clrtpod.com/m/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8855584.mp3?modified=1780964314&sid=5034728&source=rss

Dr. Fleseriu schools us on managing the unexpected Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University) Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments • Intro • Rapid fire questions/Picks of the Week • Case 1 • Defining Pituitary Incidentalomas • What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas • Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess) • Decided when to reimage patients and long term follow up of microadenomas • Case 2 • Hormonal workup for pituitary macroadenoma • Deciding when surgery should be considered • Discussing the role of visual field testing • Case 3 • Defining empty sella syndrome • Discussing hormonal assessment of empty sella syndrome • Treatment options for hyperprolactinemia caused by empty sella syndrome • Outro Credits • Producer, writer, show notes, and CME: Mobeen Ahmad MD • Infographic and cover art: Kate Grant MBChb, MRCGP • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP • Reviewer: Emi Okamoto MD • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP • Technical Production: PodPaste • Guest: Dr. Maria Fleseriu Disclosures Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Continuing Education Company Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more. Sponsor: Mint Mobile New customers can make the switch today and for a limited time, get unlimited premium wireless for just $15 per month. Switch now at mintmobile.com/CURB Sponsor: Locumstory Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums. Sponsor: FIGS Check out the limited-edition Team USA collection, and get 15 percent off your first order at Wearfigs.com with code FIGSRX.

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