Axial T2W and Sag T1W: large lobulated suprasellar mass involving the clivus and central
skull base and deforming the brainstem and right temporal lobe, with homogeneous signal,
slightly hyperintense on T2W and hypointense on T1W images. Enlargement of the left
temporal horn is also present.
Cor/Sag/Ax T1W: Post gadolinium, avid and somewhat heterogeneous enhancement.
The lesion involves the cavernous sinuses, encasing and slightly narrowing the carotid arteries.
Note the extension into the right orbital apex.
Key words: mri skull base tumor neoplasia sella pituitary suprasellar
Prolactin level = 7000