Pituitary apoplexy

Case contributed by Dr Bahman Rasuli

Presentation

Gynecomastia.

Patient Data

Age: 35 years
Gender: Male
MRI

There is a 12 x 13 x 14 mm circumscribed intrasellar mass in the right pituitary gland associated with the remodeling of the sellar floor and displacement of the infundibulum to the left.

The mass displays areas of intrinsic hyperintense T1 signal and heterogeneous T2 signal with the hypointense area and no appreciable enhancement in keeping with hemorrhagic infarction. 

Case Discussion

Imaging findings are compatible with hemorrhage within a pituitary macroadenoma in keeping with pituitary apoplexy

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