Presentation
Headache and bitemporal hemianopsia.
Patient Data
Age: 55 years
Gender: Female
From the case:
Pituitary macroadenoma
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C+"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"bahman_rasuli","case_id":148454,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Large sellar/suprasellar mass lesion displays intermediate T1 signal and a little hyperintense in T2 signal with internal cystic changes and moderate enhancement.
Extensions and mass effect:
- laterally, it is encasing the right internal carotid artery and partially encasing the left internal carotid artery at the cavernous sinus bilaterally
- inferiorly, expanding the sellar cavity and protruding into the sphenoidal sinuses
- superiorly, it is markedly compressing the optic chiasm and both optic tracts and floor of 3rd ventricle
Case Discussion
MRI demonstrating features consistent with a pituitary macroadenoma.
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