Presentation
Headache and blurring of vision
Patient Data
Age: 26
Gender: Male
From the case:
Macroadenoma with apoplexy
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Large lobulated sellar, suprasellar mass lesion causing enlargement and ballooning of sella with erosion of dorsum sella. It is splaying and displacing optic chiasma superiorly. Bilateral parasellar extension are seen partially encasing cavernous segment of bilateral ICA and partially effacing Meckel’s cave. The lesion is hypointense on T1 with a well defined hyperintense component and heterogenously hyperintense on T2- suggestive of hemorrhage within the mass.
Case Discussion
Lobulated sellar/suprasellar mass as described with hyperintense component on T1 which is heterogenously hyperintense on T2.
The features are suggestive of pituitary macroadenoma with apoplexy.
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