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Review Question - QID 215075

Pituitary Adenoma / Acromegaly imaging Magnetic resonance imaging (MRI) of the brain for pituitary adenoma QID: 215075 (M2.OMB.4697)
In scope icon M 7 A
QID 215075 (Type "215075" in App Search)
A 35-year-old woman presents to the clinic for 1 month of chest discomfort and headaches. She describes a fluttering sensation in her chest that occurs several times a day. She has also noticed that her palms have felt sweaty lately. Her medical history includes insomnia for which she takes zolpidem. She works as a software engineer and has one cup of coffee every morning. She denies tobacco, alcohol, or illicit drug use. The patient’s temperature is 99.8°F (37.7°C), blood pressure is 140/80 mmHg, pulse is 106/min and irregular, and respirations are 16/min. Physical exam reveals an anxious-appearing woman in business attire. Her skin is warm, and her hands exhibit a high-frequency tremor. Ankle jerk reflexes are 3+ bilaterally. Her laboratory results are as follows:

Serum
Free thyroxine (T4): 5.4 ng/dL (reference range: 0.8-1.8 ng/dL)
Thyroid-stimulating hormone (TSH): 6.2 µU/mL

Which of the following is the most appropriate next step in management?
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