Symptomatic Pituitary Metastasis as Initial Manifestation of Renal Cell Carcinoma: Case Report and Review of Literature

Figure 6

Most recent postoperative scan demonstrates residual enhancing heterogeneous mass in the sella (thin arrow) on the coronal postcontrast image (a). The sagittal postcontrast image (b) also demonstrates the residual heterogeneous mass (thin arrow). Also, note the postsurgical changes in the adjacent sphenoid sinus and posterior ethmoid air cells from a trans-sphenoidal approach to the sella (short thick arrow).

(a)

(b)