A 45-year-old man comes to the physician for a 1-week history of mid-back pain. He has gained 10 pounds over the past 6 months. Vitals are normal. X-ray of the spine shows compression fractures of T4 and T5. Visual field testing is represented below. “A” represents a normal patient; “B” represents the patient. Which of the following is most likely responsible for this patient’s presentation?
Acromegaly
Adrenocorticotropic hormone
Aneurysmal bleed
Apoplexy
Thyroid-stimulating hormone
