 MRI images of the sella demonstrate a focus of relative hypoenhancement centered within the right pituitary gland measuring 16 mm transverse by 13 mm craniocaudal by 14 mm AP dimensions. This partially enters the right cavernous sinus, however without associated right cavernous carotid encirclement or narrowing. It also displaces the pituitary stalk to the left. Compared to be 2014 study, there has been significant decrease in size, and it no longer approaches the optic apparatus.Evaluation of the brain demonstrates the ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are essentially clear.
MRI images of the sella demonstrate a focus of relative hypoenhancement centered within the right pituitary gland measuring 16 mm transverse by 13 mm craniocaudal by 14 mm AP dimensions. This partially enters the right cavernous sinus, however without associated right cavernous carotid encirclement or narrowing. It also displaces the pituitary stalk to the left. Compared to be 2014 study, there has been significant decrease in size, and it no longer approaches the optic apparatus.