AJDRAJNR - American Journal of Neuroradiology

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Bilateral Pituitary Adenomas Occurring with Multiple Endocrine Neoplasia Type One

Anju SahdevGo,a and Rolf Jägera

a From the Department of Imaging, Middlesex Hospital, London, U.K.



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FIG 1. Family tree demonstrating the members of the patient's family and the MEN1-related expressions.

Key:

•-Affected female with MEN1

{blacksquare}-Affected male with MEN1

{circ}-Unaffected female

{square}-Unaffected male



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FIG 2. A, Coronal T1-weighted unenhanced MR image (450/14/2 [TR/TE/excitations]) shows two low-signal foci within the pituitary gland. B, Coronal T1-weighted (637/14/2), fat-saturated, contrast-enhanced MR scan shows two nonenhancing foci, separated by normally enhancing pituitary tissue. CE, T1-weighted (637/14/2), fat-saturated, contrast-enhanced sagittal scans from right to left reveal two adenomas (C, E). Interposed between the two adenomas is normal pituitary tissue and the infundibulum (D).