Acromegaly and pituitary macroadenoma

Case contributed by Dr Manuel Betancourt Benjamin

Presentation

Infertility

Patient Data

Age: 20 years
Gender: Female

Lateral skull view demonstrated thickening of the scalp, vault prognathism and coarse facial features and an enlarged pituitary fossa

Increased heel pad thickness (34 mm). 

Vertebral bodies increased A-P dimensions.

Selected images from a CT of the brain demonstrate a hyperdense and enhancing mass in the sella with snowman-shaped suprasellar extension.

Paranasal sinuses are also hyperpneumatised. 

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