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 years
Gender: Male
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 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.

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