Acute Lymphoblastic Leukemia Presenting as Pituitary Apoplexy: A Case Report and Review of the Literature

Figure 1

A 60-year-old male presented with sudden-onset severe headache and vision loss. (a) Bilateral ptosis and abducted right eye; (b) bilateral gynaecomastia; (c) axial NCCT head demonstrating a large sellar mass with areas of hyperdensity within suggestive of acute hemorrhage; and (d) coronal noncontrast T1-weighted MRI sellar demonstrating a 3.1 × 2.7 × 4.1 cm pituitary adenoma with peripheral T1 hyperintensity suggestive of acute bleed.

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