Pituitary macroadenoma

Case contributed by Dr Bhimashankar P Sule

Presentation

Patient presented with unilateral loss of vision and diminished vision of another side.

Patient Data

Age: 35
Gender: Male
Modality: MRI

There is a large well defined lobulated mass lesion showing intense contrast enhancement seen in the pituitary fossa and extending superiorly invading suprasellar cistern. The mass is causing severe compression with elevation of optic chiasma on left side. The mass is showing heterogenosly hyperintense signal on T2WI and hypointense signal on T1WI.

The pituitary gland is not visualised. The internal carotid arteries and Meckels cave are invaded on left side. There is compression of the third ventricle with mild obstructive hydrocephalus. These findings are most likely suggestive of pituitary macroadenoma.

PlayAdd to Share

Case Information

rID: 40085
Case created: 6th Oct 2015
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.