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Figure 1. (a) Axial CT with contrast enhancement reveals a soft tissue mass arising from and destroying the greater wing of right sphenoid, extending into orbital apex and middle cranial fossa. A hyperdense hematoma is found in adjacent temporal lobe. The sellar is enlarged with empty sella appearance due to previous surgery. (b) Higher section shows extension of the hematoma to the right striatocapsular region and subfalcine herniation. There is evidence of previous craniotomy for pituitary macroadenoma with bony defect at right temporal bone.
