Presentation
MRI brain performed following advise of radiologist, regarding a sella abnormality identified at the time of MRI neck for a thyroid malignancy.
Patient Data
Age: 60 years
Gender: Female
From the case:
Empty sella
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The sella is empty and enlarged.
The sella contains fluid of CSF signal. The infundibulum ( best seen on contrast images ) traverses the sella, without displacement.
Case Discussion
The pituitary fossa is enlarged and empty containing merely CSF.
The infundibulum traverses the fossa without displacement indicating no mass within - the so called infundibulum sign.
Findings in keeping with an empty sella - asymptomatic in this case, as it very often the case.
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