EURORAD ESR

Case 12886

Neurosarcoidosis with pituitary stalk involvement as a first manifestation of a systemic disease

Author(s)
Anastasia Zikou1, Vassiliki Mouka1, Athanasios Βatsoulis1, Spyridon Konitsiotis 2, Vassilios Xydis1, Maria Ι Argyropoulou1.

1. Department of Clinical Radiology, Medical School of Ioannina, Greece.
2. Department of Neurology, Medical School of Ioannina, Greece.
e-mail: anzikou@cc.uoi.gr
 
Patient
female, 57 year(s)
 
 
  • Figure 1
    MRI brain

    T1w axial images, after contrast material administration: arrows indicate areas of nodular leptomeningeal enhancement.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    MRI pituitary

    T1w sagittal midline images, before (a) and after (b) contrast media administration. Loss of the bright signal of the posterior lobe of the pituitary gland is seen and the pituitary stalk is thickened (arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    CT thorax

    CT of the thorax, axial planes, non-enhanced: Numerous calcified lymph nodes can be visualized in the mediastinum (paratracheal, paraaortic space) and at the pulmonary hilums (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
T1w axial images, after contrast material administration: arrows indicate areas of nodular leptomeningeal enhancement.
 
T1w sagittal midline images, before (a) and after (b) contrast media administration. Loss of the bright signal of the posterior lobe of the pituitary gland is seen and the pituitary stalk is thickened (arrow).
 
CT of the thorax, axial planes, non-enhanced: Numerous calcified lymph nodes can be visualized in the mediastinum (paratracheal, paraaortic space) and at the pulmonary hilums (arrows).
 
 
 
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