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To the Editor.—There is an increasingly widespread awareness of and interest in the manifestations of the medical1 (241:573, 1979) and surgical management of pituitary tumors. The recent medical reports published in The Journal and elsewhere by staff writer Elizabeth Rasche González2 (242:401, 1979) are to be congratulated. Her reporting was comprehensive and well presented.There is one particular point to which she referred that may be of interest to readers and of importance to their patients. It is regarding the roentgenographic evaluation of patients suspected to have a pituitary tumor. Routine skull roentgenograms with cone views of the sella turcica are generally recommended as the initial film studies. Polytomographic views of the sella are also considered useful in both the evaluation of microadenomas and macroadenomas. Neither of these studies carries major risk to the patient. However, pneumoencephalography has been widely used and recommended for the evaluation of |