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Ectopic posterior pituitary

Case contributed by: Dr Frank Gaillard

Presentation:

Short stature.

Patient Data:

Age: Child
Modality: MRI

Single midline sagittal T1 image demonstrates a nodule of intrinsic high T1 signal attached to floor of the third ventricle. No normal posterior pituitary is visible in the fossa.

Annotated image

Modality: Annotated image

No normal posterior pituitary bright spot is seen in the pituitary fossa, but rather a small region of high T1 signal (yellow arrow) is seen high up at the top of the infundibulum (which appears small).

Case Discussion:

This case illustrates typical appearances of an ectopic posterior pituitary with associated growth hormone deficiency. 

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