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患者女,45岁。因“视物不清3月余”入院。体检:双侧瞳孔正圆、等大,直径(D)=3.0 mm,光反射灵敏;双侧额皱纹对称存在,眼睑无下垂,眼睑能闭合,眼球无外斜视,双眼活动不受限,双眼视物模糊,右眼眼前1米数指可,左眼粗测仅有光感;无眼震;可站立和缓慢行走。垂体MRI:平扫(图1):鞍上池见一团块状混杂信号影,形态不规则,边界尚清,呈多房分隔,大小约3.1 cm×1.7 cm×2.7 cm,病灶以长T_1、长T_2信号为主,其底部可见线状短
Female patient, 45 years old. Because “blurred vision more than 3 months ” admission. Physical examination: bilateral pupil is round, and so large, diameter (D) = 3.0 mm, light reflection sensitive; bilateral frontal wrinkles exist, no eyelid ptosis, eyelid can be closed, the eye without exotropia, binocular movement is not limited, eyes Blurred vision, the right eye in front of 1 meter can be, only the left eye rough sense of light; no nystagmus; can stand and walk slowly. Pituitary MRI: plain scan (Figure 1): saddle pool to see a lump of mixed signal shadow, irregular shape, the boundary is clear, was separated by multiple rooms, the size of about 3.1 cm × 1.7 cm × 2.7 cm, the lesion with a long T_1 , The main signal T_2 long, the bottom of the visible linear short