Pituitary macroadenoma with intratumoral hemorrhage
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Large sellar and suprasellar mass lesion with homogenous texture showing multiple cystic changes with high T1W signals reflecting intratumoral hemorrhage. The pituitary gland is not identified with widening of the sellar floor which remains intact in keeping with pituitary origin.
It is extending to the suprasellar cistern elevating and compressing the optic chiasm. Also, laterally displacing both cavernous sinuses, with partial encasement of both internal carotid arteries.
This case proved to be pituitary macroadenoma with intratumoral hemorrhage, also known as pituitary apoplexy.