Pituitary macroadenoma

Case contributed by Dr Bhimashankar P Sule


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

Patient Data

Age: 35 years
Gender: Male

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 visualized. 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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.