Sella turcica lipoma

Case contributed by Bahman Rasuli
Diagnosis possible


Infertility and hyperprolactinemia.

Patient Data

Age: 20 years
Gender: Female

There is a well-defined fat equivalent signal lesion involving the right pituitary lobe with anterolateral extension causing mild pressure effect with downward deviation of carotid artery cavernosal segment and left-sided deviation of the pituitary stalk.

The mass shows a signal loss on fat supression sequences compatible with sella turcica lipoma. 

No bone erosion.

Case Discussion

Regarding the imaging finding, sella turcica lipoma is the most likely diagnosis. Teratoma and dermoid cyst also are the other possible differential diagnoses.

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.