Dati demografici:
38 anni, Maschio
Indicazione:
Problems with vision
Reperti
CT
- Large sellar and suprasellar mass which is mildly hyperattenuating relative to brain parenchyma
- No corresponding calcification
- Smooth expansion of the sella
MRI
- T1/T2 isointense, homogeneously enhancing sellar and suprasellar mass measuring 2.5 x 2.4 x 4 cm
- Diffuse associated restricted diffusion
- Waist-like narrowing of the mass in the region of the diaphragma sellae
- The mass contacts and uplifts the optic chiasm
- Tumor extends beyond the lateral carotid tangent line on the right and slightly beyond the intercarotid line on the left with partial encasement of the bilateral internal carotid arteries
Diagnosi
Pituitary macroadenoma
Caratteristiche chiave dell'imaging
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Diagnosi differenziale
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Discussione
Perle cliniche
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