Presentation
Drooping of left eyelid, history of delivery 15 days back
Patient Data
Age: 30 years
Gender: Female
From the case:
Pituitary macroadenoma with apoplexy
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Lobulated sellar, suprasellar lesion is seen causing enlargement of sella with erosion of dorsum sella. It is mildly splaying optic chiasma superiorly. It is abutting cavernous segments of bilateral internal carotid arteries with no obvious extension into cavernous sinuses in
present scan.
It appears hyperintense on T1, heterogeneously hyperintense on T2W images (suggesting hemorrhage) and shows mild, predominantly peripheral enhancement on post contrast scans.
Case Discussion
Findings are suggestive of pituitary macroadenoma with apoplexy and explain the patient's symptoms.
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