83 years Female (DOB:12/30/1932)Reason: S/p pituitary mass resection on 7/16 History: S/p pituitary mass resection on 7/16- surveillancePROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD MRI pituitary:The patient status post pituitary fossa surgery. There is a residual lesion present within the pituitary fossa which measures approximately 17 x 25 mm in coronal dimensions. It has heterogeneous signal on both T1 and T2. It displays a thin rim of enhancement along its periphery as well as some mild heterogeneous enhancement centrally. Coronal dimensions on the prior exam were approximately 17 x 25 mm. The mass bulges into the inferior aspects of the cavernous sinus bilaterallyThe patient is status post right frontal craniotomy. There is extra-axial collection and dural thickening redemonstrated at the craniotomy site which has regressed since the prior exam..There is a focus of encephalomalacia along the right frontal lobe involving gyrus rectus and the medial aspect of the right orbital gyrus which is stable and compared to the prior exam.
1.The patient status post pituitary fossa surgery. The appearance of the pituitary fossa is relatively stable when compared to the previous exam.2.A focus of encephalomalacia in the right frontal lobe is stable.