Case Four
Images:

Selected images are shown below. Click to enlarge.
 

Case Summary

Diagnosis:  Acromegaly

Clinical hints:

Gradual change of facial features and enlargement of hands and feet. May have visual field defect (bitemporal hemianopsia) from optic chiasma pressure.


Radiological Pearls:
  • sellar enlargement
     
  • frontal sinus bossing
     
  • prognathism
     
  • soft tissue and visual field changes

Films were kindly provided by Dr. K. Terbroog.

 

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