Presentation
Headache, decreased visual clarity, malaise, and weight loss. Clinically suspicious of a cerebral space-occupying lesion.
Patient Data
Age: 60 years
Gender: Female
From the case:
Pituitary apoplexy with pituitary macroadenoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/65435/annotated_viewer_json?_c=1706182294\u0026lang=us"}
A large well-marginated mass in the sellar region extends into the suprasellar region. Slightly heterogeneous but intense enhancement following IV contrast administration confirms the presence of a mass. Imaging appearances are highly suggestive of a pituitary macroadenoma.
The heterogenous T2 signal is likely to be due to internal hemorrhage.
Restricted diffusion is seen on the diffusion-weighted imaging. This is important as it has been reported as an early sign of pituitary apoplexy 1.
Case Discussion
Histology following resection demonstrated a pituitary adenoma.
Unable to process the form. Check for errors and try again.