Pituitary adenoma follow up. There has been further increase in size of the inferior component that projects into the sphenoid sinuses, measuring up to 27 mm, previously 22 mm. The suprasellar component also appears to have slightly increased in size, measuring up to 29 mm in width, previously 27 mm. Nevertheless, there is a similar degree of right cavernous sinus extension with partial encasement of the right cavernous carotid artery. Likewise, there does not appear to be significantly increased mass effect upon the right prechiasmatic optic nerve and optic chiasm. The pituitary stalk remains deviated to the right. There are numerous foci of T2 hyperintensity in the partially-imaged cerebral white matter, which likely represent chronic small vessel ischemic disease.
Further interval increase in size inferior component of the pituitary macroadenoma that projects into the sphenoid sinuses.