Magnetic resonance characterization of a long-standing pituitary abscess

J Endocrinol Invest. 1993 Sep;16(8):635-7. doi: 10.1007/BF03347685.

Abstract

A 56-year-old male patient with panhypopituitarism is presented. Magnetic resonance (MR) examination of the pituitary region revealed a pituitary mass with markedly increased signal intensity on T1-weighted images and low signal intensity on T2-weighted images. At surgery, a large amount of purulent material was removed. At light microscopy, the tissue was demonstrated to be a pituitary abscess occurring in an otherwise normal pituitary gland. The high signal intensity on T1-weighted images does not correspond to the only MR description of a pituitary abscess given until now, reporting a mass isointense to white matter. These signal characteristics could emanate from the presence of small amounts of blood breakdown products in the proteinaceous content of the abscess. MR appearance of a pituitary abscess is possibly aspecific and could depend on the pathological composition of the lesion.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Brain Abscess / pathology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Pituitary Diseases / pathology*