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DOI: 10.1148/radiol.2402031953
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(Radiology 2006;240:603-604.)
© RSNA, 2006

Diagnosis Please

Case 1021

Luisa F. Cervantes, MD, Nolan R. Altman, MD and L. Santiago Medina, MD, MPH

1 From the Department of Radiology, Miami Children's Hospital, 3100 SW 62 Ave, Miami, FL 33155. Received December 15, 2003; revision requested February 19, 2004; revision received May 25; accepted June 15; final version accepted October 20. Address correspondence to L.F.C. (e-mail: lulu_cervantes{at}hotmail.com).


   HISTORY
TOP
 HISTORY
 
A 1-day-old full-term boy was born to a 33-year-old woman (gravida 3, para 2) after an uneventful pregnancy. The baby was delivered by means of cesarean section when labor failed to progress. At birth, the baby weighed 3685 g, was 50.8 cm long, and had an Apgar score of 8 at 1 minute and of 10 at 5 minutes. The baby's blood glucose level at 2 hours of age was 7 mg/dL (0.39 mmol/L). At that time, he was transferred to the regular nursery, and dextrose infusion was started. Twenty hours later, he was found to be lethargic and hypothermic. His blood glucose level was immediately measured and found to be 2 mg/dL (0.11 mmol/L). A physical examination was performed, and a micropenis and bilaterally descended testicles were noted. The patient was transferred to a tertiary pediatric medical center, and magnetic resonance (MR) imaging of the brain was performed (Figure).


Figure 1
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  		Figure a: (a) Sagittal midline and (b) coronal spin-echo T1-weighted MR images (repetition time msec/echo time msec, 500/12; section thickness, 3 mm) were obtained through the sella. (c) Transverse spin-echo T1-weighted MR image (525/10; section thickness, 3 mm) obtained through the suprasellar region.

 

Figure 1
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  		Figure b: (a) Sagittal midline and (b) coronal spin-echo T1-weighted MR images (repetition time msec/echo time msec, 500/12; section thickness, 3 mm) were obtained through the sella. (c) Transverse spin-echo T1-weighted MR image (525/10; section thickness, 3 mm) obtained through the suprasellar region.

 

Figure 1
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  		Figure c: (a) Sagittal midline and (b) coronal spin-echo T1-weighted MR images (repetition time msec/echo time msec, 500/12; section thickness, 3 mm) were obtained through the sella. (c) Transverse spin-echo T1-weighted MR image (525/10; section thickness, 3 mm) obtained through the suprasellar region.

 


   FOOTNOTES
 

Submit the most likely diagnosis to http://rsna.org/dxplease (use only for submission of diagnosis). Select the case from the Active Case List for which you are submitting a diagnosis. Only one case, one name, and one diagnosis per submission. Multiple diagnoses, and multiple submissions will not be considered. Deadline: Midnight U.S. Central Time, October 15, 2006. Answer will appear in the December issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.

 





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