PMC4120051_01
Initial MRI sagittal view showing the pituitary mass (dotted line). Homogeneously enhancing 4 cm soft tissue mass centered in the sella turcica extending into both the left and right cavernous sinus as well as abutting and displacing the optic chiasm.
JCHIMP-4-23994-g001.jpg
PMC4120051_01_JCHIMP-4-23994-g001.jpg
F0001
MRI suggested a homogeneously enhancing 4 cm soft tissue mass centered in the sella turcica, extending into both the left and right cavernous sinuses, encasing 50% of the left cavernous internal carotid artery and displacing the optic chiasm (Fig. 1).
Post-surgery MRI: Interval resection of previously described pituitary adenoma. Peripherally enhancing soft tissue remains within the pituitary sella with extension to the left cavernous sinus. Findings likely reflect post-operative changes (white arrow).
JCHIMP-4-23994-g002.jpg
PMC4120051_01_JCHIMP-4-23994-g002.jpg
F0002
The patient underwent combined transseptal transsphenoidal approach with resection of the pituitary neoplasm (Fig. 2).