case_images: PMC10578379_01
case_images: Our patient on re-examination, with noted frontal bossing, macrognathia, macroglossia, and prognathism.
case_images: luac007f1.jpg
case_images: PMC10578379_01_luac007f1.jpg
case_images: luac007-F1
case_images: On re-examination, he was noted to have frontal bossing, macrognathia, macroglossia, and prognathism; features that were previously subtle without appropriate clinical context [Fig. 1].
case_images: MRI brain findings: coronal T1-weighted pre-contrast (A) and post-contrast (B) images through the pituitary gland demonstrating a hypo-enhancing 1.3-cm left lateral suprasellar mass (arrows), consistent with a pituitary macroadenoma. Axial T1-weighted post-contrast image (C) again demonstrates findings consistent with a pituitary macroadenoma (arrow).
case_images: luac007f2.jpg
case_images: PMC10578379_01_luac007f2.jpg
case_images: luac007-F2
case_images: Magnetic resonance imaging of the brain revealed a hypo-enhancing 1.3-cm lesion enlarging the left lateral pituitary gland [Fig. 2].