PMC5815410_01
A contrast-enhanced, T1-weighted, sagittal magnetic resonance image showing a huge suprasellar mass (white shaded arrows) extending anteriorly to the posterior ethmoid sinus.
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PMC5815410_01_10.1177_1179551418758640-fig1.jpg
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Magnetic resonance imaging of the brain and pituitary (Figures 1 to 3) showed an expansive, irregular lesion in the sellar and suprasellar region, measuring 5.5 cm x 4.4 cm x 5.2 cm, enclosing the right optic nerve and eroding the cavernous sinus and clivus.
A contrast-enhanced, T1-weighted, axial magnetic resonance image showing the mass (white shaded arrow) encasing the right optic nerve.
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PMC5815410_01_10.1177_1179551418758640-fig2.jpg
fig2-1179551418758640
Magnetic resonance imaging of the brain and pituitary (Figures 1 to 3) showed an expansive, irregular lesion in the sellar and suprasellar region, measuring 5.5 cm x 4.4 cm x 5.2 cm, enclosing the right optic nerve and eroding the cavernous sinus and clivus.
A contrast-enhanced, T1-weighted, axial magnetic resonance image showing the tumor encasing both the internal carotid arteries (the long, white arrows, bilateral).
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PMC5815410_01_10.1177_1179551418758640-fig3.jpg
fig3-1179551418758640
Magnetic resonance imaging of the brain and pituitary (Figures 1 to 3) showed an expansive, irregular lesion in the sellar and suprasellar region, measuring 5.5 cm x 4.4 cm x 5.2 cm, enclosing the right optic nerve and eroding the cavernous sinus and clivus.
Axial computed tomographic images of the brain without contrast showing extensive pneumocephalus (the arrows are pointing to very-low-density areas, representing air) in the basal and suprasellar cisterns extending to the ventricular system and cerebrospinal fluid spaces.
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PMC5815410_01_10.1177_1179551418758640-fig4.jpg
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An urgent CT scan revealed extensive pneumocephalus in addition to the previously noted invasive and destructive giant macroprolactinoma, with no evidence of acute territorial infarction or intracerebral hemorrhage (Figures 4 and 5).
Sagittal computed tomographic images of the brain without contrast showing extensive pneumocephalus (the arrows are pointing to very low-density areas, representing air) in the basal and suprasellar cisterns extending to the ventricular system and cerebrospinal fluid spaces.
10.1177_1179551418758640-fig5.jpg
PMC5815410_01_10.1177_1179551418758640-fig5.jpg
fig5-1179551418758640
An urgent CT scan revealed extensive pneumocephalus in addition to the previously noted invasive and destructive giant macroprolactinoma, with no evidence of acute territorial infarction or intracerebral hemorrhage (Figures 4 and 5).