Pituitary lesion surveillance. There no significant interval change in the enhancing sellar mass with extension into the right cavernous sinus and right sphenoid sinus, measuring up to 18 mm. There is no mass effect upon the optic apparatus. The infundibulum is midline. The internal carotid artery flow voids are intact. There is unchanged cerebral volume loss and mild scattered nonspecific cerebral white matter T2 hyperintense lesions.
No interval change in the invasive pituitary mass, which likely represents a macroadenoma.