case_images: PMC10508995_01
case_images: PMC10508995_02
case_images: Plain PA chest X-ray, heart contour, diaphragmatic angles, and ribs are normal, bilateral hilar congestion, no obvious osteolytic lesions.
case_images: CRIE2023-1482675.001.jpg
case_images: PMC10508995_02_CRIE2023-1482675.001.jpg
case_images: fig1
case_images: A chest X-ray (posteroanterior view) demonstrated hilar congestion with emphysematous changes (Figure 1).
case_images: PMC10508995_03
case_images: (a) The patient's sagittal MR image without contrast for the pituitary; the dashed arrowhead points to the hypothalamic mass. (b) Coronal image without contrast shows the optic chiasm and pituitary stalk infiltration. (c) Axial lung window shows the apical lung mass (the dashed arrowheads), and the red arrow points to an osteolytic lesion within the vertebral body. (d) Coronal lung window shows the apical lung mass (the dashed arrowheads).
case_images: CRIE2023-1482675.002.jpg
case_images: PMC10508995_03_CRIE2023-1482675.002.jpg
case_images: fig2
case_images: A noncontrast pituitary MRI showed an infiltrative mass in front of the mammillary bodies that extended to the pituitary stalk and posterior pituitary with dimensions of 2.5 x 1.1 x 1 centimeters (Figures 2(a) and 2(b)). A multislice computed tomography (MSCT) scan of the whole body revealed multiple osteolytic lesions and a 28 mm lobulated mass in the left lung apex that was not visible on the chest X-ray (Figures 2(c) and 2(d)).
case_images: PMC10508995_04