MRI
Sagittal T2
Coronal T2
Coronal T1
Coronal T1 C+
Sagittal T1 C+ fat sat
Axial T1 C+
There is a 30*40*45 mm large heterogeneous enhancing mass lesion enlarging the pituitary fossa and extending to suprasellar cistern suggestive for pituitary macroadenoma. The solid mass also shows cystic and fatty components. No evidence of intratumoral hemorrhage also is seen.
Suprasellar extension of the mass causing to severe pressure effect on the optic chiasma and compression of the pre-pontine cistern are seen. Mild pressure effect on the right cerebral peduncle also is seen.
Right parasellar extension of the mass touching right cavernous sinus and displacing the cavernous segment of the right ICA laterally also is seen.