History of pituitary mass resected and now with recurrence. Vision loss and headache appear 60-year-old female. There is redemonstration of a sellar mass which has been described on the recent MRI from yesterday. It is unchanged in appearance since that exam.The patient is status post a nasal septal prosthesis placement.The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated.The frontal sinuses are clear.There is some mucosal thickening present along the maxillary sinuses of a mild degree.Ethmoid air cells are clear . There is partial opacification of the right sphenoid sinus. The patient is apparently status post transsphenoidal surgery.Some atherosclerotic calcifications are present along the distal internal carotid arteries .Visualized portions of the mastoid air cells and middle ears are clear. Visualized orbits are intact and the visualized intracranial structures and demonstrate hypodensity along the right optic tract.
1.The patient has a sellar and suprasellar mass which is described on a recent MRI.2.Patient is status post nasal septal prosthesis placement.3.Status post transphenoidal surgery.4.Partial opacification of paranasal sinuses as indicated above.5.hypodensity along the right optic tract