case_images: PMC9941025_01
case_images: Photographs of the patient showing: (A) Coarse facial features with facial edema, wrinkles, scanty scalp hair on the forehead, and partial loss of both eyebrows; (B) Dry, scaly, and pale skin of legs; (C) Dry and scaly skin of hands
case_images: cureus-0015-00000033972-i01.jpg
case_images: PMC9941025_01_cureus-0015-00000033972-i01.jpg
case_images: FIG1
case_images: She had thinning limbs, facial edema, hair fall, and dryness of skin (Figure 1).
case_images: Plain chest X-ray of the patient showing enlarged cardiac silhouette (arrow)
case_images: cureus-0015-00000033972-i02.jpg
case_images: PMC9941025_01_cureus-0015-00000033972-i02.jpg
case_images: FIG2
case_images: Her chest X-ray (CXR) revealed an enlarged cardiac silhouette that raised the suspicion of either a massive pericardial effusion or a massive cardiomegaly (Figure 2).
case_images: (A) T1 weighted MRI of the coronal section of the brain; (B) T1 weighted MRI of the sagittal section of the brain. The scans reveal thinning of the pituitary gland with partially empty sella (arrows). However, the pituitary stalk is normal in length and width.. MRI: magnetic resonance imaging
case_images: cureus-0015-00000033972-i03.jpg
case_images: PMC9941025_01_cureus-0015-00000033972-i03.jpg
case_images: FIG3
case_images: A gadolinium-enhanced MRI of the brain was thus advised to the patient which revealed thinning of the pituitary gland (atrophic pituitary gland) with partially empty sella (Figure 3).