Female, 67 years old, status post transphenoidal resection of a pituitary tumor in December 2011, yearly surveillance to ensure stability. Redemonstrated is deformity of the pituitary gland associated with low parenchymal volume compatible with surgical alteration, unchanged in appearance. As before. the pattern of glandular enhancement remains somewhat heterogeneous, but again without discrete mass, which is unchanged and likely attributable to surgery. No new or developing lesions are seen. The pituitary stalk sits at midline and enhances normally. Right maxillary sinus inflammation is demonstrated with mucosal thickening and fluid, similar to the prior exam.
Stable postsurgical appearance of the postoperative pituitary gland without evidence of recurrent lesion.