Teaching Points
- A pituitary mass may present clinically in a number of ways such as hormonal deficiency/excess, visual changes or headache
- A detailed history, examination and biochemical screening is required in conjunction with imaging
- MRI with intravenous gadolinium is the modality of choice. It is accurate in the depiction of the pituitary gland, infundibulum, optic chiasm, cavernous sinuses and neighbouring vascular structures
- If MRI is contra-indicated or unavailable, a CT with contrast is an alternative
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