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Incidentalomas. Incidentalomas. T1W sagittal (A) and T2W coronal (B) MRIs show a small slightly T2 hypointense lesion (B, arrow) in the left anterior pituitary gland—an ‘incidentaloma’. The patient had normal endocrine function. There is also a T1-hyperintense lesion adjacent to the superior aspect of the pituitary gland, likely to represent a Rathke's cleft cyst or small craniopharyngioma. The signal does not suppress with fat saturation, making a lipoma unlikely. It does not extend to the optic chiasm, and there was no visual field defect. Interval scanning confirmed stability. Shelley Renowden Pract Neurol 2015;15:26-41 ©2015 by BMJ Publishing Group Ltd
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