Hypopituitarism CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [4] Iqra Qamar M.D.[5]

Overview

CT scan is preferred over MRI for visualization of calcification in a meningioma or a craniopharyngioma. Routine CT is insensitive to the diagnosis unless frank intracranial hemorrhage is present.The pituitary mass may be evident and be hyperdense.

CT

• CT scan is preferred over MRI for visualization of calcification in a meningioma or a craniopharyngioma
• Routine CT is insensitive to the diagnosis unless frank intracranial hemorrhage is present
• The pituitary mass may be evident and be hyperdense.
• Fluid debris levels may also be evident.

Case courtesy of Dr Chris O'Donnell, Empty sella in Sheehan's syndrome

CT without contrast showing intrasellar mass.(Source: Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 2735)

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  Large hyperdense sellar mass extending into the suprasellar region and causing displacement of surrounding structures.
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  Large hyperdense sellar mass extending into the suprasellar region and causing displacement of surrounding structures.
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  There is a well defined round isodense lesion noted in the pituitary fossa, the lesion is widening the sella.
• 
  There is a well defined round isodense lesion noted in the pituitary fossa, the lesion is widening the

References

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