Presentation
Lethargy and headaches. Incidental finding on CT head.
Patient Data
Age: 50 years
Gender: Female
From the case:
Acromegaly
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- 2 cm enhancing lesion in the pituitary fossa, expanding it
- thickened skull
- neanderthal like supraorbital ridge = frontal bossing
- the thickened skull and frontal bossing suggest growth hormone secretion (i.e. acromegaly)
From the case:
Acromegaly
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Pituitary gland is stretched around a lesion of lower signal. The pituitary gland enhances more avidly than the adenoma in this phase of imaging.
Case Discussion
The patient went on to have surgery which confirmed a growth hormone secreting macroadenoma accounting for their acromegaly.