圖片說明

圖片說明

圖片說明

History:
This 19 years old lady had galactorrhea for 6 months ago.

Image finding :
-Bulging of L't pit. gland with a 6mm delayed enhancing tumor in L't pit. gland.
-The opitc chiasm seems not
-Preservation of the normal high SI of the neurohypophysis post. lobe) on T1WI

Diagnosis :
Microadenoma, L't pit. gland

Discussion :
Pituitary Microadenoma
=very small adenomas <10 mm
-usually become clinically apparent by hormone production (20-30% of all
pituitary
-prolactin elevation (>25 ng/mL in females)
-4 x 8 normal:adenoma demonstrated in 71%
->8 x normal:adenoma demonstrated in
-incidentaloma = nonfunctioning microadenoma / pituitary cyst
-NO imaging features to distinguish between different types o adenomas

MRI:
-small mass of hypointensity on pre- and postcontrast T1WI (nonenhancing)
-occasionally isointense on precontrast images + hyperintense on postcontrast
images
-enhancement on delayed images
-focal bulge on surface of gland
-focal depression of sellar floor
-deviation of pituitary stalk