Pituitary adenoma

Case contributed by Townsville radiology training

Presentation

Hx of pituitary macroadenoma. Prolactin secreting. On steroid replacement. Increasing tiredness and weakness.

Patient Data

Gender: Female
MRI

Suprasellar mass isointense on T1 (sag), and hyperintese on T2w (cor). >10cm therefore macroadenoma.

It is compressing the optic chiasm, opitc tracts. Extension into cavenours sinuses bilaterally, more on right with >75% encasement of internal carotid artery.

Slight heterogenicity within it may indicate calcification or haemorrhage.

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Case information

rID: 19344
Case created: 30th Aug 2012
Last edited: 23rd Sep 2015
Inclusion in quiz mode: Included

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