EURORAD ESR

Case 4303

Multiple manifestations of MEN-1

Author(s)
Triantafillos Gerukis, Maria S.Sidiropoulou, Theodoros L.Giannopoulos, Maria Economou, Panagiotis Palladas.
 
Patient
male, 32 year(s)
 
 
  • Figure 1
    Non-contrast-enhanced CT of sellar region.

    a,b: bone window, c: brain window. Note the invasion of the right lesser wing of the sphenoid bone (a) and the thin dorsum sellae (b). The hyperdense mass extends downward towards the sphenoidal sinus and laterally...

     
     
     
  • Figure 2
    MRI of sellar region.

    a Coronal and b Sagittal T1-weighted contrast-enhanced MR images, c T2-weighted and d T2-weighted PD transverse scans. The large sellar lesion presents central hemorrhagic foci, entraps the cavernous segment of the...

     
     
     
  • Figure 3
    Ultrasonography of the thyroid gland.

    Longitudinal scans of the a right and b left the thyroid gland. A 12mm×9mm hyperdense nodule with a thin hypodense halo is depicted at the right thyroid lobe (a). Multiple smaller hypodense lesions are shown in the...

     
     
     
  • Figure 4
    Abdominal CT.

    A 27,9mm×29,4mm, smooth, relatively homogenous and hypodense mass, with little enhancement, typical of a cortical adenoma is seen in the left adrenal.

     
     
     
a,b: bone window, c: brain window. Note the invasion of the right lesser wing of the sphenoid bone (a) and the thin dorsum sellae (b). The hyperdense mass extends downward towards the sphenoidal sinus and laterally to the right cavernous sinus (c).
 
a Coronal and b Sagittal T1-weighted contrast-enhanced MR images, c T2-weighted and d T2-weighted PD transverse scans. The large sellar lesion presents central hemorrhagic foci, entraps the cavernous segment of the right internal carotid artery, elevates the optic chiasm and compresses the 3rd ventricle.
 
Longitudinal scans of the a right and b left the thyroid gland. A 12mm×9mm hyperdense nodule with a thin hypodense halo is depicted at the right thyroid lobe (a). Multiple smaller hypodense lesions are shown in the left lobe (b). These findings indicate multiple thyroid adenomas.
 
A 27,9mm×29,4mm, smooth, relatively homogenous and hypodense mass, with little enhancement, typical of a cortical adenoma is seen in the left adrenal.
 
 
 
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