Acute-Onset Panhypopituitarism Nearly Missed by Initial Cosyntropin Testing

<table class="figure-group"><tr class="fig-image" id="a"><td><object data="https://static.hindawi.com/articles/cricc/volume-2017/7931438/figures/7931438.fig.001a.svgz" name="7931438.fig.001a" type="image/svg+xml"></object></td></tr><tr class="fig-caption"><td><b>(a) </b>Sagittal T1-weighted MRI</td></tr><tr class="fig-image" id="b"><td><object data="https://static.hindawi.com/articles/cricc/volume-2017/7931438/figures/7931438.fig.001b.svgz" name="7931438.fig.001b" type="image/svg+xml"></object></td></tr><tr class="fig-caption"><td><b>(b) </b>Coronal T2-weighted MRI</td></tr><tr class="fig-image" id="c"><td><object data="https://static.hindawi.com/articles/cricc/volume-2017/7931438/figures/7931438.fig.001c.svgz" name="7931438.fig.001c" type="image/svg+xml"></object></td></tr><tr class="fig-caption"><td><b>(c) </b>Coronal T1-weighted MRI</td></tr></table>

<div>Inhomogeneity of the pituitary indicative of local metastases. Sagittal T1-weighted MRI (a) and coronal T2-weighted MRI (b) of the pituitary showed signal increase suggesting hemorrhage (arrows). Coronal T1-weighted MRI (c) with contrast shows inhomogeneous enhancement of pituitary with metastasis.</div>

Case Reports in Critical Care

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Figure 1

Figure 1: Acute-Onset Panhypopituitarism Nearly Missed by Initial Cosyntropin Testing 