Cholesterol granuloma

Case contributed by Amr Farouk
Diagnosis almost certain

Presentation

Presenting with galactorrhea.

Patient Data

Age: 35 years
Gender: Female
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T2
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Info

Lobulated mass in the left petrous apex has high T1 & T2 signal.

Pituitary gland right focal contour convexity of the superior border just encroaching on the supra sellar cistern with a deviation of the pituitary stalk to the left side suggesting a pituitary adenoma. 

Case Discussion

Typical imaging findings of a left petrous apex cholesterol granuloma.

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