MyPACS.net: Radiology Teaching Files > Case 10113341

previously visited MENINGIOMA SUPRASELAR
Contributed by: DIEGO HERNAN LLANOS, Radiologist, Hospital d'Igualada, Spain.
Patient: 58 year old female
History:
Paciente que consulta por cefalea y alteración en la agudeza visual.

Patient who consults by migraine and alteration in the visual sharpness.
Images:[small]larger

Fig. 1: CT Axial sin contraste. Masa supraselar, con calcificación gruesa. Axial CT without contrast. Mass to supraselar with heavy calcification.

Fig. 2: RM T1 Axial sin contraste. Lesión supraselar isointensa. Axial MRI T1 without contrast. Injury to supraselar isointense.

Fig. 3: RM Axial Flair. Lesión supraselar isointensa. MRI axial Flair. Injury to supraselar isointense.

Fig. 4: RM Coronal T2. Lesión supaselar hipointensa. MRI coronal T2. Injury to supraselar hypointense.

Fig. 5: RM T1 Sagital con contraste. La lesión capta el contraste de forma homogenea y la Hipófisis es normal. Sagital MRI T1 with contrast. The injury catches the contrast of homogenous form and the hipofisis is normal.

Fig. 6: T1 Coronal con contraste. La lesión capta el contraste de forma homogenea. Coronal MRI T1 with contrast. The injury catches the contrast of homogenous form and the hipofisis is normal.
Findings:
En TC sin contraste, se aprecia masa definida y calcificada, que ocupa la región selar.
Se complementa con RM con contraste, encontrando lesión supraselar Hipointensa en T1 E Hiperintensa en T2 y FLAIR, que realza conde la administración del contraste. Existe efecto de masa sobre el quiasma óptico y la glándula hipofisiaria es de características normales.

In TC without contrast, is cleared and calcified mass, that occupies the region to supraselar.
Image is complemented with MRI with contrast, having exitiendo to supraselar, hypointense in T1 and hyperintense T2 and in FLAIR, that it heightens with the administration of the contrast. Exists mass effect on optician quisma and the hipofisiaria gland is of normal characteristics.

Diagnosis:
MENINGIOMA SUPRASELAR
References:
David Johnsen et al. MR Imaging of the sellar y yustasellar regions.
Radiographics 1991: 11: 727-758.
Comments:
No comments posted.
Additional Details:

Case Number: 10113341Last Updated: 08-28-2007
Anatomy: Cranium and Contents   Pathology: Neoplasm
Modality: CT, MRExam Date: 07-16-2007Access Level: Readable by all users
Keywords: meningioma supraselarACR: 139.366

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