Case Challenge

Head and Neck

Neuro

Sella

Stephen J Pomeranz

Gain confidence interpreting Sella MRI Cases with MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME!

Case Review

Neuroradiology

Case 1 - 76-year-old male presents with hemianopia and mass

Case 2 - 43-year-old female presents history of pituitary microprolactinoma

Case 3 - 21-year-old male presents with visual field defect

Case 4 - 42-year-old male presents with moderate to severe headaches

Case 5 - 53-year-old female presents with Rathke's cleft cyst

Case 6 - 46-year-old female presents with papilledema

Case 7 - 78-year-old female presents with headaches and pituitary lesion

Case 8 - 64-year-old female presents with severe intermittent left-sided headaches

Case 9 - 61-year-old male presents with hypogonadism

Case 10 - 9-year-old female presents with intractable headaches

Case 11 - 63-year-old female presents with right retroorbital pain, paresthesia

Case 12 - 67-year-old female presents with enlarged sella with intermittent anosmia

Case 13 - 13-year-old male presents with blurred vision

Case 14 - 63-year-old male presents with dizziness for four weeks

Case 15 - 46-year-old female presents with papilledema

Case 16 - 40-year-old female presents with history of left lower quadrant visual loss

Case 17 - 48-year-old female presents with headache

Case 18 - 54-year-old male presents with pituitary cyst

Case 19 - 35-year-old male presents with mild to moderate dizziness

Case 20 - 38-year-old male presents with pituitary macroadenoma

Case 21 - 33-year-old male presents with headaches

Case 22 - 56-year-old male presents with possible stroke

Case 23 - 61-year-old female presents with memory loss

Case 24 - 63-year-old male presents with benign neoplasm of pituitary gland

Case 25 - 31-year-old male presents with papilledema

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique Sella MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Sella MRI Cases

<div>HISTORY:&#160;This 63-year-old female presents with right retroorbital pain, paresthesia.(QUIZ ANSWER) MOST LIKELY DIAGNOSIS IN THIS CASE:&#160;Idiopathic intracranial hypertension.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Craniocervical junction demonstrates low lying cerebellar tonsils. No associated hydrocephalus. Pituitary gland, is small. Partial empty sell noted. Brainstem, and corpus callosum unremarkable. Patent dural venous sinuses demonstrated on the postcontrast sequences.&#160;Orbits and intraorbital contents appear normal.&#160;Cerebellopontine cistern bilaterally normal as is cochlea, vestibule, and seventh and eighth nerve complexes. Normal appearing Meckel's cave bilaterally.&#160;Mild global cortical atrophy.Partial empty sella&#160;Prominent bilateral optic nerve sheath fluid and low volume intrasellar contents. The former finding can be seen with papilledema. Recommendation to check this patient's eye fields to exclude papilledema.&#160;CONCLUSION:&#160;Findings strongly suggest idiopathic intracranial hypertension previously known as pseudotumor cerebri. Consider evaluation for such.</div>

Case

Which of the following is the MOST LIKELY diagnosis in this case?