Coronal post contrast T1 MR image in an afebrile 15 year old | Figure 1
CincyKidsRad
Cincinnati Children's Radiology
Coronal post contrast T1 MR image in an afebrile 15 year old with headache shows a bilobed pituitary abscess (red arrow) initially thought to be a tumor. Purulent material was drained at surgery with no endocrine complications. This is a rare lesion that may not present with signs of infection, as in this case. #NeuroWednesday
Why you should join Figure 1
- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes
Similar cases
A 25 year old female presenting with headache and dizziness, as well as a left superior temporal quadrantopia in the left eye and no light perception for her right eye. What are your differentials and other further workups?
t2 hyperintens(first image) T1 hypointens(second image) and postcontrast t1 hypointens( last image ) showing a tiny cystic lesion. What could that be?( blue arrow=neurohyposis)
MR images in a 12 year old with headaches and diplopia shows a heterogeneously enhancing suprasellar mass. There is pituitary infundibulum thickening (blue arrow), and the posterior pituitary bright T1-focus is absent (red). The mass had diffusion restriction, and germinoma was favored. CNS germinomas are centered in the midline, usually in the pineal and suprasellar locations. Suprasellar lesions often present with diabetes insipidus or visual changes. The pineal lesions usually present with headache, precocious puberty, or Parinaud syndrome with upward gaze paralysis. #NeuroWednesday