PMC4921157_01
MRI scan image on presentation. Noncontrast, fat-saturated, T1-weighted sagittal view.
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An MRI scan confirmed a pituitary mass extending upward into the suprasellar cistern, elevating and compressing the optic chiasm (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5).
MRI scan image on presentation. Postcontrast, fat-saturated, T1-weighted sagittal view showing homogeneous contrast uptake.
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An MRI scan confirmed a pituitary mass extending upward into the suprasellar cistern, elevating and compressing the optic chiasm (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5).
MRI scan at presentation. T2 coronal section showing suprasellar extension and compression on optic chiasm.
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An MRI scan confirmed a pituitary mass extending upward into the suprasellar cistern, elevating and compressing the optic chiasm (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5).
MRI after three months. Noncontrast T2 coronal image. Note reduction in size of pituitary gland. Nipple sign is also reversing.
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MRI 3 months later (Fig. 6) showed a reduction in the size of the mass in the pituitary fossa such that it no longer displaced the optic nerves or chiasm.
MRI after ten months. Noncontrast T2 coronal image. Pituitary gland is smaller, with minimal residual changes.
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The patient's scan in ten months (Fig. 7) showed further reduction in the size of the pituitary gland, with persistent changes.