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 35-year-old male presents with mild to moderate dizziness, cloudy vision, headaches and motion sickness for 1.5 weeks with pain on left side of neck.(QUIZ ANSWER) PRIMARY FINDING:&#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:&#160;Near complete empty sella.Dilatation of the optic nerve sheaths and slight flattening of the sclera.The optic chiasm is not low lying.&#160;Cerebellar tonsils are not low lying.While there are no signs of intracranial mass or neoplasm, the history of headaches, cloudy vision, and the remaining history along with the MR findings are suspicious for idiopathic intracranial hypertension formerly known as pseudotumor cerebri in an atypical demographic of a young man.Consider funduscopic examination to exclude papilledema or pseudopapilledema.Does the patient have postural hypotension?No diffusion restriction is identified.Following contrast augmentation, no enhancement is identified.IMPRESSION: Empty sella and dilated optic nerve sheaths in a patient with cloudy vision and headaches raises the possibility of idiopathic intracranial hypertension or pseudotumor cerebri.Thank you for your referral in this case.</div>

Case

What is the primary finding in this case?