Attenuation of a pubertal growth spurt and pubertal progression and central hypothyroidism could be the presenting manifestations of pituitary macroadenoma in adolescents even without neuro-ophthalmic signs or galactorrhea. *On Levothyroxine 50mcg and therapy hold for 1 week, ** on GH 0.05mg/kg/day Atypical Presentation of Pituitary Macroadenoma in an adolescent girl: Central Hypothyroidism and Attenuated Pubertal Growth Spurt