Hemorrhagic pituitary macroadenoma

Case contributed by A.Prof Frank Gaillard

Presentation

No history available

Patient Data

Age: Adult
Gender: Female
MRI

Pituitary MRI

MRI of the pituitary demonstrates a large mass expanding the sella and extending into the suprasellar cistern compressing the optic chiasm. Within the right side of the mass a region of intrinsic high T1 and T2 signal is demonstrated (high T1 signal material is seen layering posteriorly) consistent with subacute blood products (extracellular met-hemoglobin). 

Case Discussion

This case illustrates appearances consistent with hemorrhage into a pituitary macroadenoma. It would be interesting to know if the patient presented with sudden headache / visual loss to suggest classic pituitary apoplexy. 

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Case information

rID: 12838
Published: 16th Jan 2011
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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