If you experience headaches, alteration in mental status, visual deficits, and oculomotor palsies, your doctor may prescribe you a Pituitary X-ray to rule out/treat Pituitary Apoplexy.
Changes in and around the sella turcica can reflect numerous intracranial pathologies, not limited to the pituitary gland.
Your doctor will perform physical exams and ask for a detailed history before concluding. A lot of the differential
depends on the findings of the radiograph. Some common radiological findings in the sella turcica and associated pathological conditions/symptoms are:
Enlarged sella turcica, associated with Empty Sella Syndrome
altered shape and contour associated with pituitary tumors
erosions in the wall or floor due to aneurysms or chronic intracranial pressure
Meningioma of sella turcica resulting in thickening of clinoid or tuberculum processes
thinning bone density
craniopharyngioma with symptoms: headaches, visual problems, hormonal imbalances, and behavioral changes due to frontal extension.
fat and calcification in the intrasellar, suprasellar or parasellar region