case_images: PMC7784194_01
case_images: Pictures of the patient throughout the years (A) 1980s (B) 1989 (C) 2000 (D) 2001.
case_images: JAFES-32-2-173-g001.jpg
case_images: PMC7784194_01_JAFES-32-2-173-g001.jpg
case_images: f0001
case_images: The attending endocrinologist still noted coarse facial features, enlarged hands and feet (Figure 1-3).
case_images: Latest front (A) and lateral (B) pictures of the patient taken July 2015.
case_images: JAFES-32-2-173-g002.jpg
case_images: PMC7784194_01_JAFES-32-2-173-g002.jpg
case_images: f0002
case_images: The attending endocrinologist still noted coarse facial features, enlarged hands and feet (Figure 1-3).
case_images: Picture of the patient's hands - dorsal (A) and palms (B); patient's feet - dorsal (C) and soles (D). Incidentally note that both her right hand and foot is larger than the left.
case_images: JAFES-32-2-173-g003.jpg
case_images: PMC7784194_01_JAFES-32-2-173-g003.jpg
case_images: f0003
case_images: The attending endocrinologist still noted coarse facial features, enlarged hands and feet (Figure 1-3).
case_images: T1 weighted sagittal MRI image of the pituitary post contrast (A) 2015 and (B) 2004. Both showing a small pituitary gland which is pressed against the sellar floor with no internal hypoenhancement post-contrast.
case_images: JAFES-32-2-173-g004.jpg
case_images: PMC7784194_01_JAFES-32-2-173-g004.jpg
case_images: f0004
case_images: A repeat MRI imaging of the sella revealed normal pituitary, with no evidence of pituitary adenoma (Figure 4-5).
case_images: T1 weighted coronal MRI image of the pituitary post contrast (A) 2015 and (B) 2004. Both showing a small pituitary gland which is pressed against the sellar floor with no internal hypoenhancement post-contrast.
case_images: JAFES-32-2-173-g005.jpg
case_images: PMC7784194_01_JAFES-32-2-173-g005.jpg
case_images: f0005
case_images: A repeat MRI imaging of the sella revealed normal pituitary, with no evidence of pituitary adenoma (Figure 4-5).