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. 2023 Jun 21;11:1162654. doi: 10.3389/fped.2023.1162654

Figure 7.

Figure 7

Multifocal germinoma in a 12-year-old boy with panhypopituitarism. Thickening of the pituitary stalk and tuber cinereum was observed in axial head CT (A) and sagittal T1WI (B) and T2WI (C), which enhanced homogenously after gadolinium in sagittal T1WI (D) (white arrowheads). The expected T1 hyperintensity of the neurohypophysis is absent. Also note additional solid-cystic lesions in the body of the corpus callosum, lamina terminalis, and ceiling of the third ventricle with associated contrast enhancement (empty white arrowheads), indicative of multifocal distribution. Despite no diffusion restriction was seen on DWI (E) and ADC map (F), all lesions were spontaneously hyperdense on CT (G) with no hypodense foci on T2 gradient-echo images (H), supporting some degree of hypercellularity (white arrows).