PMC138810_01
MRI of head. a: In August 2000 second recurrence of pituitary adenoma was detected with incidental 1.3 cm meningioma (arrow). B: By January 2001 the meningioma (arrow) grew rapidly and reached 3.5 cm in 5 months.
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F1
August 2000 revealed a 2 cm pituitary macroadenoma with suprasellar extension. At this time a small, dura based mass measuring 1.3 cm in greatest dimension was incidentally noted in the left parietal hemisphere (Fig. 1a). This dura - based mass was initially followed, but it demonstrated dramatic progression reaching to the size of 3.5 cm in the MRI scan of January 2001 (Fig. 1b).