Headache and blurring of vision.
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Large lobulated sellar, suprasellar mass lesion causing enlargement and ballooning of sella with erosion of dorsum sella. It is splaying and displacing optic chiasma superiorly. Bilateral parasellar (R>L) extension are seen partially encasing cavernous segment of bilateral ICA and partially effacing Meckel’s cave.
MRI features are suggestive of a pituitary macroadenoma.