Fig. 1.

Magnetic resonance imaging of the brain/pituitary with and without gadolinium. Sagittal 3-dimensional view T1 before and after contrast showing a well-circumscribed, rim-enhancing mass measuring 9 × 10 mm likely involving the suprasellar cistern and sella. In addition, a 2-mm enhancing lytic skull lesion is noted in the right posterior temporal region along with a left posterior parasagittal lytic skull lesion at the apex consistent with metastases.