Untreated Giant Macroprolactinoma with Chronic Cerebrospinal Fluid Leakage: An Unusual Complication

Figure 1

Initial contrast enhanced coronal T1-weighted sequence on MRI showing a large lobulated enhancing solid mass in the sellar and suprasellar regions (white arrows). The mass extends into the subfrontal lobes and in between the two frontal horns causing compression of foramen of Monroe. Inferiorly the mass extends to the sphenoid sinus and into the nasal cavity. The mass appears to encase the cavernous sinus and the optic chiasma.

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