JELLYFISH AND A CLOWNFISH NAMED VOLTAIRE

JELLYFISH AND A CLOWNFISH NAMED VOLTAIRE
BE CAREFUL!!! GOT A FRIEND WITH ME HAVING THE LUCKY FIN OF A CLOWNFISH NAMED VOLTAIRE! WE CAN BE VERBALLY AGGRESSIVE.

E = mc3: THE NEED FOR NEGATIVE THEOLOGY

E = mc3: THE NEED FOR NEGATIVE THEOLOGY
FUSION CUISINE: JESUS, EINSTEIN, and MICKEY MOUSE + INTERNETS (E = mc3) = TAO ~g(ZERO the HERO)d~OG

About Me

My photo
Hearing impaired (tendency to appear dumb, dense, and/or aloof), orthodox atheist (believe faith more harmful than doubt), self depreciating sense of humor (confident/not to be confused with low self esteem), ribald sense of humor (satorical/mocking when sensing Condescension), confirmed bachelor (my fate if not my choosing), freakish inclination (unpredictable non-traditionalist opinions), free spirit (nor conformist bohemian) Believe others have said it better...... "Jim! You can be SO SMART, but you can be SO DUMB!" "Jim! You make such a MARTYR of yourself." "He's a nice guy, but...." "You must be from up NORTH!" "You're such a DICK!" "You CRAZY!" "Where the HELL you from?" "Don't QUITE know how to take your personality." My favorite, "You have this... NEED... to be....HONEST!"

Monday, August 29, 2016

PETITION UPDATE DISCUSSION: Law Office of the Public Defender of DeKalb County

*** 

***
Burt Wittenberg · 
President and Owner at Self Employed (Business)
It is good to watch Democracy in action
It is unfortunate that neighborhood needs to live in fear and hateful signs
We all hope and pray that this does not become violet
LikeReplyAug 10, 2016 4:36pm
James Avery · 
Louisiana State University
Per Bobby Rasulnia...

Long Answer: After the County Solicitor conducted a pre-trial discussion with the property owner, the County Solicitor returned to the courtroom and reported to the Judge concern that the property owner was scattered in thought, unable to focus, and stating he would simply pay the fine and return home and hang himself.

Actually the "Correct Answer" should have been much longer.

Caught off guard, surprised, by the number of people actually showing up for this trial, I had asked Solicitor Graham who were the two concerned citizens of my neighborhood that were going to be representing the rest? Not only had I not been informed, previous court hearing, about there being any limits on the number of neighbors able testifying at this this court hearing, Solicitor Graham acted as if she had no clue what I was talking about; didn't know how many would be testifying. When I started talking about the petitiion, again, not only both her and Officer Housworth claiming clueless about any petition, even had Solicitor Graham claiming a petition wouldn't have anything to do with this hearing anyway. She refused to hear anymore about the petition.

Then I asked her what order we would be speaking; would it be the same as court hearing Feb.2013 before Judge Withers with the plantiffs speaking first before me? Again she said she didn't know; would be up to Judge McCord.

Realizing I was getting nowhere with our County Solicitor Graham, this is when I told her, "I'm still pleading 'Not Guilty'; but I'm saying...NOTHING... during the trial."

"BUT YOU REQUESTED A TRIAL," she says to me frustrated.

"I said...NOT...guilty. The trial was automatic," I answered back.

After hearing her telling me that she was then going to be asking $1000.00 fine per citation with a four month probation period, not caring whether others from our neighborhood got to speak or not, I wasted no time in telling her that I would rather write her a check for $50,000.00 then heading straight home and hanging myself.

Solicitor Graham then uncomfortably volunteers having me mentally evaluated.

"I've already been...MENTALLY...evaluated! Is it fair calling someone's problem a psychosis if the triggers for his supposedly bipolar-ism is the survivors, comfirmatiin, congeniallity bias of others? Those with a surplus are better able controlling thier circumstances. Those without a surplus are controlled by those with the surplus. One is not always able exercising good judgement."

Then I tried talking about the petition again, about Judge Nelly "FVCK THE LORAX" Withers' immaculate ejaculation previous court hearing, even attempted explaining why I wasn't having a lawyer representing me. Solicitor Graham was hearing none of it! "Constanty going off on a tangent" being her summarization before the Judge our hallway pre-trial hearing.

"After the County Solicitor conducted a pre-trial discussion with the property owner, the County Solicitor returned to the courtroom and reported to the Judge concern that the property owner was scattered in thought, unable to focus, and stating he would simply pay the fine and return home and hang himself." LONG ANSWER PER BOBBY RALSULNIA

Although I did not tell this to our Solicitor Graham, it was the four months probation completely unacceptable to me.

Having been hearing impaired all my life, now...acute onset vision loss recently my right eye with 15% probability next five years of the same thing happening to the other eye; believing my heart to be in the right place, no way was I going to be spending the rest of what's left of my life force into helping others continue living their carefully scripted sheltered lies.

The real truth: God is nothing more than a manipulation/deception eliminating any possiblity of consent.
LikeReplyAug 16, 2016 2:20am
James Avery · 
Louisiana State University
A CHILD'S FIRST BOOK OF TRUMP

To: Donna Devine

Got the book. It is cute! Now I'm curious...who are my Arkansan kinfolks voting for?
Aug 6, 2016 4:45 pm

From: Donna Devine

All u need to know is mom is voting for Hillary! I am not voting !! We r screwed either way!!!!
Aug 8, 2016 10:20 am

From: Donna Devine

Mother is moving to another country if Trump wins!
Aug 8, 2016 10:21 am

(OH THE IRONY HERE. NOT ONLY WAS I UNABLE GETTING MY MOTHER SHOWING SUPPORT FOR HER GAY SON BY VOTING FOR OBAMA, I WAS UNABLE GETTING HER VOTING FOR OBAMA AFTER INFORMING HER THAT'S WHO HILLIARY WOULD HAVE WANTED HER VOTING FOR. MAKING IT EVEN WORSE, I HAD EVEN TOLD MY MOTHER THAT IF SHE COULD NOT VOTE FOR OBAMA BECAUSE HILLIARY WAS WANTING HER TO VOTE FOR OBAMA, THEN ALL HER REASONS BEING FOR HILLIARY WERE WRONG TO BEGIN WITH.)

To: Donna Devine

I've decided not to vote this year as well. But my reasons are entirely different than yours. Anyway, you are right that we are screwed either way. Just wrong of you to blame the politicians; even Trump.
Aug 8, 2016 10:38 am

HELLO! HELLO! IS THERE ANYONE OUT THERE WHO CAN HEAR ME? ANYONE AT ALL?

Family! Friends! Neighbors! Preachers! Politicians!

I HEAR INOTHING! ABSOLUTLELY NOTHING! NOT ONE SINGLE WORD SUPPORTIVE OF ANYTHING I"M WANTING TO BELIEVE I'M STANDING UP FOR! FROM ANYONE!

"I used to think that the worst thing in life was to end up alone. It's not. The worst thing in life is to end up with people who make you feel alone."
~(Robin Williams)~

Even tried reaching out to Shirley Phelps-Roper;poster child for the infamous Westboro Baptist Church of Topeka, KS!

NOTHING!.

AMERICA'S MOST HATED FAMILY...?

And again...

ABSOLUTELY NOTHING!

This is telling me... A LOT!

"And I, if I be lifted up from the earth, will draw all men unto me."
~(Jesus of Nazareth: Trinity's Time Warp Dance :Simply Jim)~

Anyway, the reason I'm not voting;

The same as I believe it is wrong of obtuse old people such as Bob and Janet Gary, even my mother, leaving the rest of us behind having to suffer the consequences of their votes long after they have departed, I'm also believing it wrong of me voting along the same line of reasoning; I'm just not certain I have enough money getting me completely through another election cycle without selling my home and moving...AGAIN.

"And I, if I be lifted up from the earth, will draw all men unto me."
~(Jesus of Nazareth: Trinity's Time Warp Dance :Simply Jim)~

Let us not forget, I did try co-opting this petition in my attempt getting signature to the petition in support of DeKalb County enforcing not only its sign code ordinances against my property, but also enforcing its Green Laws county wide.

But no! Not only were there no signatures in support of my proposal, I even had, not only, all my counterpoints to comments posted to this petition against my property deleted; even banned from Change.org entirely!

SILENCE = CONSENT (DEAD OR ALIVE) DIALOGUE = PURGATORY

And I asolutely will not be moving...AGAIN.

Nor will I become homeless

"And I, if I be lifted up from the earth, will draw all men unto me."
~(Jesus of Nazareth: Trinity's Time Warp Dance :Simply Jim)~

For those of you unable doing the math...
that's seven billion people.

And the best part, our 296 signatures to this petition so far should be able being the one's getting the credit as the one's willingly volunteering themselves being the one's steering the rest of you straight through heaven into hell on a mass scale.

It's your decision...

Am I the one who's the aethetic nuisance to your neighborhood?

Am I the one who's the detriment to your property's value?

Am I the one who's hazarous to your general public welfare?

It's even your decision how fast I should get to stay or should I go?
LikeReplyAug 17, 2016 10:38am
James Avery · 
Louisiana State University
Psalm 118:10-12 English Standard Version (ESV)

10 All nations surrounded me;
in the name of the Lord I cut them off!
11 They surrounded me, surrounded me on every side;
in the name of the Lord I cut them off!
12 They surrounded me like bees;
they went out like a fire among thorns;
in the name of the Lord I cut them off!

Since "Mason Mill Civic Association and Neighbors" are also listed as decision makers in addition to DeKalb County, how about providing me with a list of signatures to this petition as well?

Also, if possible, would someone be kind enough providing me with the names of those 20 + concerned citizens having showed up for my court hearing/non-hearings this past August 9th, 2016? Lived in this neighborhood since end of 94' and recognized, at most, seven people.

Except for Mary Hinkel as current President of Mason Mill Civic Association, didn't recognize anyone from these last 3-4 MMCA picnics..?
LikeReplyAug 21, 2016 9:44pmEdited
James Avery · 
Louisiana State University
Three more citations for a total of eight!

Only this time, upon hearing that Officer Housworth had driven by one day and there were no signs out in my yard, made him aware that I have been doing this every day since the court hearings; to wait until after three in the afternoon to be sure and not waste trip for nothing.

Then Charlie appears complaining and witnessing Office Housworth defending himself by telling Charlie that he only said he would be driving out by my property once a week; me jumping in and informing Charlie that our Officer Housworth already knows...now...not to drive by my place before three in the afternoon.

Charlie doesn't get it! Or simply doesn't care about anything beyond the needs of his own insignificant pathethic little life?

Just have to watch the video once uploaded to blog.

***

What follows is a section I copied and pasted from a blog entry of mine about my new neighbors not long after they first moved onto this property next door to mine:

"All right, CHARLIE! This is... YOUR... moment!
Are you a... GOOD FAGGOT or a... BAD FAGGOT?
Let's not forget our lesbian daughters, mothers, and grandmothers!
Again, CHARLIE!
Are you a...GOOD FAGGOT or a... BAD FAGGOT?"

"If there is anything I can say positive about what Charlie has done with his lot was the fact he put a lot of blue collar workers to work during a blue collar recession."

"But...
that along with his owning a Prius Hybrid and increasing our property values could have been done without cutting down... "

http://twistedpurplecow.blogspot.com/.../property-taxes...

Not only had I immediatedly gotten slapped with an attempted restraining order that I successfully had dismissed; I'm willing to bet you, Charlie went around from that point on claiming he "put a lot of blue collar workers to work during a blue collar reccession."
LikeReplyAug 21, 2016 9:47pmEdited
James Avery · 
Louisiana State University
Subject: Re: Code Violation Case
From: James Avery (jeaverydvm87@att.net)
To: memaloney@dekalbcountyga.gov;
Date: Sunday, August 28, 2016 10:11 PM

Hello Miss. Maloney,

Been over two weeks?

Thought I would try and touch base with you again about a possible date for us going over my case?

Sincerely yours,

James E. Avery, D.V.M.

p.s. DeKalb County Mobile Crisis Unit has paid me another visit this passed Monday. This makes the ninth time they have come out to my house uninvited, unannounced, unwelcomed as they are a complete waste of both our times. I've even been unable getting copies of any of these records/reports associated with these visits because they...supposedly... are not considered legit medical records. Considering it was at the end of the third visit that a Chemical Nurse Specialist Lana Chase informed me of the reason for these visits being a concern that I might be a homicidal/suicidal risk, maybe you will be able understanding why I have now ingrained the... potential... for a suicide into my story?

I'm not saying that I plan on hanging myself, only that I'm now able understanding why someone would.

On Wednesday, August 17, 2016 10:44 AM, "Maloney, Marian E.." <memaloney@dekalbcountyga.gov> wrote:

Good morning, Mr. Avery,

I apologize for not getting in touch with you sooner. We are in the middle of our first of two trial weeks here. I will get back in touch with you soon about your case.

In the meantime, I wanted to make sure you had the number for the GA Crisis Center. Please call them if you are having any feelings of self harm like you expressed to me in court last week. The number is: 800.715.4225

I hope that you have a wonderful day,
Marian Maloney

Sent from my iPhone

On Aug 15, 2016, at 6:55 PM, James Avery <jeaverydvm87@att.net> wrote:

Hello Marian,

Just concerned that I have not heard from you yet about a possible date for us going over my case..?

I do not remember if we had discussed any part of my pretrial conversation with Solicitor Graham that led to her informing Judge McCord that she was uncomfortable proceeding forward with the court hearing.

As I am already isolated due to a hearing impairment and losing even more as I age...

As I have recently become even more isolated due to having lost most of my vision my right eye with a 15% chance same happening with other eye...

It's important that you understand why any outcome involving any kind of probation in addition, or not, to a fine is unacceptable to me.

http://minusfleshequalswaterandspirits.blogspot.com/...

And this is going to require a decent amount of time.

Hope to hear from you soon,

James E. Avery, D.V.M.

P.S.
http://sentientpuddleofallsentientpuddles.blogspot.com/...

On Tuesday, August 9, 2016 5:02 PM, "Maloney, Marian E.." <memaloney@dekalbcountyga.gov> wrote:

Good afternoon, Mr. Avery,

This is Marian Maloney, your Public Defender. I just wanted to follow up with you about what happened in court this afternoon. I know that we stayed after to discuss what had transpired, but since you were having some difficulty hearing, here is a short synopsis:

1. Your case has been specially set for trial on September 13, 2016 at 2 pm. You and I will meet before then; I will be in touch later about a good time when we can meet to go over everything for your case.

2. The County, through its prosecutor, made a motion asking the judge to issue a cease and desist. I opposed the motion, arguing that you are innocent until proven guilty. Judge would not grant the County's motion; however, Judge made clear that if you are not in compliance with the code sections, that you are exposing yourself to having more tickets issued to you for every day that you are in violation. Below are the specific code sections for which they have written you citations so that you know what the code sections say.

I hope that you have a wonderful evening, and I look forward to working with you on your case.

Sincerely,
Marian Maloney

--
Marian E. Maloney
Law Office of the Public Defender of DeKalb County
320 Church Street
Decatur, GA 30030
(404) 371-2222
LikeReply1 min

Sunday, August 28, 2016

Marian E. Maloney: Law Office of the Public Defender of DeKalb County

Subject:Re: Code Violation Case
From:James Avery (jeaverydvm87@att.net)
To:memaloney@dekalbcountyga.gov;
Date:Sunday, August 28, 2016 10:11 PM


Hello Miss. Maloney,

Been over two weeks?  

Thought I would try and touch base with you again about a possible date for us going over my case?

Sincerely yours,

James E. Avery, D.V.M.

p.s.  DeKalb County Mobile Crisis Unit has paid me another visit this passed Monday.  This makes the ninth time they have come out to my house uninvited, unannounced, unwelcomed as they are a complete waste of both our times.  I've even been unable getting copies of any of  these records/reports associated with these visits because they...supposedly... are not considered legit medical records.  Considering it was at the end of the third visit that a Chemical Nurse Specialist Lana Chase informed me of the reason for these visits being a concern that I might be a homicidal/suicidal risk, maybe you will be able understanding why I have now ingrained the... potential... for a suicide into my story?  

I'm not saying that I plan on hanging myself, only that I'm now able understanding why someone would.






Attachments

  • August 27th, 2016 Venial 020.JPG (6.66MB)
  • August 27th, 2016 Venial 035.JPG (6.84MB)

***


Subject:Code Enforcement Trial
From:Maloney, Marian E.. (memaloney@dekalbcountyga.gov)
To:jeaverydvm87@att.net;
Date:Tuesday, August 30, 2016 3:54 PM


Good afternoon, Mr. Avery,

I received your email that you sent late Sunday night. I apologize that it has been two weeks since we last spoke.

I wanted to give you a few updates. First, the prosecutor who was prosecuting your case is no longer working with the DeKalb County Solicitor's Office. A different prosecutor will be taking over your case. The County is still intending to go forward with trial on September 13th.

Before today, the judge had also not actually completed an order appointing me to be your attorney. He has finished that paperwork today. If you recall, he said in court that he was appointing me due to some concerns he had about your mental health and competency to understand the court proceedings after the prosecutor herself had raised some concerns. He has told both myself and the county prosecutors that if he decides that he wants a formal evaluation completed, that he will let all parties know by this Friday. He also wants any motions, if there are any, filed by next Friday, the 9th.

You might also recall that Judge McCoyd had some concerns about whether you could adequately hear what was going on in the courtroom. He's indicated that he will likely be moving your September 13th hearing to the downtown Decatur courthouse where he suspects they have hearing assistance devices. Myself and other folks within my office are working to make sure that you'll be able to hear the proceedings wherever they end up being. I will let you know for sure which location we will be at on the 13th.

As far as meeting to discuss your defense, what is your availability for next week?

I hope that you are having a good day.

Sincerely,


--
Marian E. Maloney
Law Office of the Public Defender of DeKalb County
320 Church Street
Decatur, GA 30030
(404) 371-2222


***


Subject:Re: Code Enforcement Trial
From:James Avery (jeaverydvm87@att.net)
To:memaloney@dekalbcountyga.gov;
Date:Tuesday, August 30, 2016 10:27 PM


Hello Miss Maloney,

As I am not working, I've been available 24/7 ever since having attempted performing my own drug addiction intervention Thanksgiving 2010;  telling everyone.

 All anyone has done, since then, has done nothing more than pushing me back inside my home alone; with "Tina" as we call it within the gay community.   


I'm available anytime convenient for you.

Sincerely yours,

James E. Avery, DVM 

p.s.  Is it fair calling someone's problem a psychosis if the triggers for his supposedly "bipolarism" is the survivors, confirmation, congeniality bias of others?



***


Subject:Re: Code Enforcement Trial
From:James Avery (jeaverydvm87@att.net)
To:memaloney@dekalbcountyga.gov;
Date:Friday, September 2, 2016 10:18 PM


Hello Miss Maloney,

"If you recall, he said in court that he was appointing me due to some concerns he had about your mental health and competency to understand the court proceedings after the prosecutor herself had raised some concerns. He has told both myself and the county prosecutors that if he decides that he wants a formal evaluation completed, that he will let all parties know by this Friday."

So what's the verdict?  Since I have not heard anything, I'm guessing this means Judge McCoyd has decided against having me mentally evaluated?

Also hoping you might have some idea, able sharing with me, what kind of penalties we maybe looking at so far with these citations of mine?



Personally, I consider these signs to be more in line with art.

Sincerely yours,

James E. Avery, DVM




***

SHOULD - THE FREE DICTIONARY






SHOULD


(sho͝od)

aux.v. Past tense of shall

1. Used to express obligation or duty: You should send her a note.
2. Used to express probability or expectation: They should arrive at noon.
3. Used to express conditionality or contingency: If she should fall, then so would I.
4. Used to moderate the directness or bluntness of a statement: should think he would
 like to go.

Usage Note: Just as they ignore the traditional rules governing the use of shall and will, Americans largely ignore the traditional rules governing the use of should and would. The two verbs are not always 
interchangeable, however. To express duty or obligation, should is required and functions as the 
equivalent of ought to: I (or you or heshould go.But would (and not should) is used to express willingness or promise (agreed that I would do itand to express habitual action in the past (In those days we wouldwalk along the canal at night). Would also has the advantage of being a polite substitute for will in 
requests: Would you lend me a dollar? Either should or would can be used in the first person to express 
the future from the point of view of the past, but one should bear in mind that should sounds more formal 
than would: He swore that I should (or less formally, wouldpay for the remark. The same principle appliesto the verb in sentences that express a hypothetical condition or event: If I had known that, I would (or 
more formally,shouldhave answered differently. In the second and third persons, however, only would is 
used: She assured us that she would (not shouldreturn. If he had known that, he would (not shouldhave answered differently. · Choosing which verb to use in conditional clauses, such as those beginning with 
if, can be tricky. In certain clauses, should is used for all three persons: If I (or you or heshould decide 
to go, we will need a larger car. If it should begin to snow, we will stay here tonight. Would is not 
acceptable in these if clauses, but it does appear in other kinds of conditional clauses:He might surprise 
you if you would give him a chance. The best advice is to follow what sounds most natural. When in 
doubt, writers can try a verb form in the indicative (if it begins to snow) or the subjunctive (if you were to 
give him chance). 

See Usage Notes at ifrathershall.


American Heritage® Dictionary of the English Language, Fifth Edition. Copyright © 2011 by Houghton Mifflin Harcourt Publishing Company. Published by Houghton Mifflin Harcourt Publishing Company. All rights reserved.





Saturday, August 27, 2016

EMORY HEALTHCARE: MRI OF THE ORBITS

Document info

 Result type: MRI Orbits w/ + w/o Cont
 Result date: Jul 01, 2016, 11:14 a.m.
Result status: authenticated
Performed by: Kimberly Higdon
Modified by: Kristen Baugnon
Accession number: 00001MR20160163270

MRI Orbits w/ + w/o Cont 
Patient: JAMES AVERY                DOB: Jan 14, 1962 

REPORT

MRI OF THE ORBITS WITHOUT AND WITH IV CONTRAST:

CLINICAL INDICATION: Sudden right-sided vision loss. Presumed nonarteritic anterior ischemic optic neuropathy of the right eye in the setting of crystal meth abuse. 

TECHNIQUE: 3.0-Tesla system. Pre-contrast sagittal T1-w and axial diffusion-w images of the brain with ADC map, and axial T1- and T2-w and coronal T1-w and T2-w fat-saturated images of the orbits. Post-contrast axial and coronal T1-w fat-saturated images of the orbits. Intravenous contrast material was administered for the examination.

COMPARISON: None.

 FINDINGS:
1.4 x 1.0 (axial, series 10 image 6) x 0.9 cm (craniocaudal, series 9 image 22) hypoenhancing mass in left aspect of sella turcica. Mass is minimally T1 hypointense and T2 hyperintense. No involvement of left cavernous sinus. No mass effect on optic chiasm or optic nerves.

 Questionable mild T2 hyperintensity in intraorbital segment of right optic nerve. Optic nerves otherwise appear symmetric.

 The globes are of normal contour and signal intensity. There is no orbital mass or abnormal enhancement along the course of the optic nerves, chiasm and optic tracts. The intraconal and extraconal fat is within normal limits. The extraocular muscles are normal in size and signal intensity. The lacrimal glands appear normal. The orbital apices and cavernous sinuses demonstrate no abnormality.

 IMPRESSION:

1. Questionable mild T2 hyperintensity in intraorbital segment of right optic nerve, which could be consistent with history of right optic neuropathy.

2. 1.4 x 1.0 x 0.9 cm hypoenhancing mass in left sella turcica, likely pituitary macroadenoma. No mass effect on optic nerves or chiasm. Correlate with endocrine function.

This study has been reviewed and interpreted by Kristen L. Baugnon, M.D., attending neuroradiologist.


***
Pituitary adenomas
https://en.wikipedia.org/wiki/Pituitary_adenoma:  Pituitary adenomas are tumors that occur in the pituitary gland. Pituitary adenomas are generally divided into three categories dependent upon their biological functioning: benign adenoma, invasive adenoma, and carcinomas, with carcinomas accounting for 0.1% to 0.2%, approximately 35% being invasive adenomas and most being benign adenomas. Pituitary adenomas represent from 10% to 25% of all intracranial neoplasms [1]and the estimated prevalence rate in the general population is approximately 17%.
Non-invasive and non-secreting pituitary adenomas are considered to be benign in the literal as well as the clinical sense; however a recent meta-analysis (Fernández-Balsells, et al. 2011) of available research has shown there are to date scant studies - of poor quality - to either support or refute this assumption.
Adenomas which exceed 10 millimetres (0.39 in) in size are defined as macroadenomas, with those smaller than 10 mm referred to as microadenomas. Most pituitary adenomas are microadenomas, and have an estimated prevalence of 16.7% (14.4% in autopsy studies and 22.5% in radiologic studies). A majority of pituitary microadenomas often remain undiagnosed and those that are diagnosed are often found as an incidental finding, and are referred to as incidentalomas.
Pituitary macroadenomas are the most common cause of hypopituitarism, and in the majority of cases they are non-secreting adenomas.
The Pituitary gland is in close proximity to the brain, invasive adenomas may invade the dura matercranial bone, or sphenoid bone. While Pituitary adenomas are extremely common, affecting approximately one in 6 of the general population, clinically active pituitary adenomas requiring surgical treatment are more rare, affecting approximately one in 1000 of the general population.
The pituitary gland or hypophysis is often referred to as the "master gland" of the human body. Part of the hypothalamic-pituitary axis, it controls most of the body's endocrine functions via the secretion of various hormones into the circulatory system. The pituitary gland is located below the brain in a depression (fossa) of the sphenoid bone known as the sella turcica. Although anatomically and functionally connected to the brain, the pituitary gland sits outside the blood–brain barrier. It is separated from the subarachnoid space by the diaphragma sella, therefore the arachnoid mater and thus cerebral spinal fluid cannot enter the sella turcica.
The pituitary gland is divided into two lobes, the anterior lobe (which accounts for two thirds of the volume of the gland), and the posterior lobe (one third of the volume) separated by the pars intermedia.
The posterior lobe (the neural lobe or neurohypophysis) of the pituitary gland is not, despite its name, a true gland. The posterior lobe contains axons of neurons that extend from the hypothalamus to which it is connected via the pituitary stalk. The hormones vasopressin and oxytocin, produced by the neurons of the supraoptic and paraventricular nuclei of the hypothalamus, are stored in the posterior lobe and released from axon endings (dendrites) within the lobe.
The pituitary gland's anterior lobe (adenohypophysis) is a true gland which produces and secretes six different hormones: thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), follicle-stimulating hormone(FSH), luteinizing hormone (LH), growth hormone (GH), and prolactin (PRL).