A 31-year-old woman came with acromegalic facial features, type two diabetes mellitus and galactorrhoea since five years.
The MRI of the brain shows widening of the sella with a large, well-defined, lobulated T1/T2 isointense enhancing lesion with multiple hyperintense cystic/haemorrhagic areas. It extends into the suprasellar, suprachiasmatic and left parasellar region. There is severe compression of the left temporal lobe with oedema.