Empty sella

Case contributed by Dr Ian Bickle

Presentation

MRI brain performed following advice of radiologist, regarding a sella abnormality identified at the time of MRI neck for a thyroid malignancy.

Patient Data

Age: 60 years old
Gender: Female
MRI

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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Case information

rID: 24490
Case created: 20th Aug 2013
Last edited: 6th May 2017
Inclusion in quiz mode: Included

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