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14 Cards in this Set

  • Front
  • Back
Cell Types in central and peripheral distribution

Cell Types in central and peripheral distribution

Image Time Between Normal Adenohypophysis
and Adenoma

Image Time Between Normal Adenohypophysis


and Adenoma

24% Nonfunctioning

24% Nonfunctioning

Pituitary Macroadenoma
Mass effect
No Endocrine Sxs
Daming effect on stalk

Pituitary Macroadenoma


Mass effect


No Endocrine Sxs


Daming effect on stalk

Adenoma
Hemorrhagic

Adenoma


Hemorrhagic

RX for Pit Adenoma
Radiation Necrosis involving Temporal Lobes!!

RX for Pit Adenoma


Radiation Necrosis involving Temporal Lobes!!

RCC
Like Colloid Cyst, Can Show Different Signal Due To Protein/Hemorrhage
Dark On T2- limits Dx to RCC

RCC


Like Colloid Cyst, Can Show Different Signal Due To Protein/Hemorrhage


Dark On T2- limits Dx to RCC

Occasionally fluid fluid level is inferior.
?viscous nature of the RCC?

Occasionally fluid fluid level is inferior.


?viscous nature of the RCC?

Adamantinomatous
First Decade
 
Papillary 
Fifth and Sixth Decade
Less Cystic
Non Ca+

Adamantinomatous


First Decade



Papillary


Fifth and Sixth Decade


Less Cystic


Non Ca+

Sarcoid
Small Gland Due To Chronic Effect of Sarcoid Lesion

Sarcoid


Small Gland Due To Chronic Effect of Sarcoid Lesion

Large Gland Pregnancy High Blood Flow Demand
--Postpartum
Hypotensive Episode
Gland Infarcted

Large Gland Pregnancy High Blood Flow Demand


--Postpartum


Hypotensive Episode


Gland Infarcted

Postpartum Necrosis
Sheehan Syndrome
Delayed Pit Insuff 
Up to 10-20 Yrs
Diff Dx: Lymphocytic Hyp, Apoplexy, Pit Abscess

Postpartum Necrosis


Sheehan Syndrome


Delayed Pit Insuff


Up to 10-20 Yrs


Diff Dx: Lymphocytic Hyp, Apoplexy, Pit Abscess

Sheehan
Acute to Chronic

Sheehan


Acute to Chronic

Sheehan
Chronic
May Present Chronic Endocrine
May Present With Empty Sella

Sheehan


Chronic


May Present Chronic Endocrine


May Present With Empty Sella

Clinical History:
Evaluate "Sella Mass"
 
 
Aneurysm!!!

Clinical History:


Evaluate "Sella Mass"




Aneurysm!!!

Not Bright on MRA source Image--
but Positive on CTA for Aneurysm

Not Bright on MRA source Image--


but Positive on CTA for Aneurysm

Ecchordosis Physoliphora-
Small Posterior Bar on CT exam

Ecchordosis Physoliphora-


Small Posterior Bar on CT exam

Chordoma
May not enhance so much
Bright T2
No whorls of Ca++ like chondrosarcoma

Chordoma


May not enhance so much


Bright T2


No whorls of Ca++ like chondrosarcoma

Notochord Trajectory
1. Ecchordosis Physoliphora
2. Chordoma
3. Tornwaldt Cyst Nasopharynx

Notochord Trajectory


1. Ecchordosis Physoliphora


2. Chordoma


3. Tornwaldt Cyst Nasopharynx

Chondrosarcoma
Bright T2
Ringlets Ca++
Arise Petro-Occipital Synchondrosis 
Not Notochord

Chondrosarcoma


Bright T2


Ringlets Ca++


Arise Petro-Occipital Synchondrosis


Not Notochord

Chondrosarcoma
High ADC
Chordoma
Intermediate ADC
Poorly Diff Chordoma
Low ADC

Chondrosarcoma


High ADC


Chordoma


Intermediate ADC


Poorly Diff Chordoma


Low ADC

Skull BaseMeningioma
In this location May Have Spiculated Appearance on Bone- With Expansion of bone-- think meningioma instead or malignant process

Skull BaseMeningioma


In this location May Have Spiculated Appearance on Bone- With Expansion of bone-- think meningioma instead or malignant process

LCH: Lytic Skull Base
Concave Edges

LCH: Lytic Skull Base


Concave Edges

Fibrous Dysplasia
May Be A Challenge in Skull Base (Cystic Change)
10-25% Monostotic FD Affects Skull and Face Bones
>50% in Polyostotic

Fibrous Dysplasia


May Be A Challenge in Skull Base (Cystic Change)


10-25% Monostotic FD Affects Skull and Face Bones


>50% in Polyostotic

McCune-Albright Syndrome
Fibrous Dysplasia
1. Polyostotic
2. Cafe Au Lait Spots
3. Autonomous Endocrine Hyperfunction

McCune-Albright Syndrome


Fibrous Dysplasia


1. Polyostotic


2. Cafe Au Lait Spots


3. Autonomous Endocrine Hyperfunction

Metastatic Breast Cancer
Parasellar
Mimic Meningioma
 
Mets Skull Base May Be Painful, CN sxs

Metastatic Breast Cancer


Parasellar


Mimic Meningioma



Mets Skull Base May Be Painful, CN sxs

Lymphoma
 
Mimics Meningioma

Lymphoma



Mimics Meningioma

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