PMC7784194_01
Pictures of the patient throughout the years (A) 1980s (B) 1989 (C) 2000 (D) 2001.
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The attending endocrinologist still noted coarse facial features, enlarged hands and feet (Figure 1-3).
Latest front (A) and lateral (B) pictures of the patient taken July 2015.
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The attending endocrinologist still noted coarse facial features, enlarged hands and feet (Figure 1-3).
Picture of the patient's hands - dorsal (A) and palms (B); patient's feet - dorsal (C) and soles (D). Incidentally note that both her right hand and foot is larger than the left.
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The attending endocrinologist still noted coarse facial features, enlarged hands and feet (Figure 1-3).
T1 weighted sagittal MRI image of the pituitary post contrast (A) 2015 and (B) 2004. Both showing a small pituitary gland which is pressed against the sellar floor with no internal hypoenhancement post-contrast.
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A repeat MRI imaging of the sella revealed normal pituitary, with no evidence of pituitary adenoma (Figure 4-5).
T1 weighted coronal MRI image of the pituitary post contrast (A) 2015 and (B) 2004. Both showing a small pituitary gland which is pressed against the sellar floor with no internal hypoenhancement post-contrast.
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A repeat MRI imaging of the sella revealed normal pituitary, with no evidence of pituitary adenoma (Figure 4-5).