Justification from literature

PROJECTION FOR PITUITARY ADENOMAS

The lateral skull X-ray can provide valuable insights into suspected pituitary adenomas, particularly when evaluating the sella turcica, the bony structure housing the pituitary gland. While MRI remains the gold standard for diagnosis, the lateral X-ray serves as a cost-effective and accessible initial screening tool, especially in settings with limited resources. Enlargement or erosion of the sella turcica can be indicative of a pituitary macroadenoma. X-ray findings, such as sellar widening, are often the first signs that prompt further investigation using advanced imaging modalities like MRI​.