PMC5590677_01
PMC5590677_02
CT of the adrenal glands shows mildly hyperplastic adrenal glands with prominence of the left adrenal gland (arrows).
nihms902508f1.jpg
PMC5590677_02_nihms902508f1.jpg
F1
Computed tomography (CT) of the adrenal glands showed bilaterally enlarged adrenal glands with slight prominence of the left adrenal gland (Figure 1A). Pituitary MRI revealed a 3 x 4 millimeter hypoenhancing lesion in the right side of the pituitary gland anteriorly (Figure 1B). The rest of the pituitary showed slightly heterogenous enhancement (Figure 1C).
a. Pituitary MRI revealed a 3 x 4 millimeter hypoenhancing lesion in the right side of the pituitary gland anteriorly (arrows). b. The rest of the pituitary shows slightly heterogenous enhancement with no other lesions (arrows).
nihms902508f2.jpg
PMC5590677_02_nihms902508f2.jpg
F2
The biopsy showed a pituitary adenoma, characterized by proliferation of anterior lobe cells of similar morphology with reticulin breakdown and strong diffuse ACTH staining (Figure 2).