History of pituitary apoplexy in 2006, now with growing pituitary lesion. There is an enhancing mass within the sella, somewhat eccentric to the right, with extension into the sphenoid sinuses. Overall, the mass measures up to 20 mm, previously 18 mm. The infundibulum is deviated to the left. There is perhaps slight mass effect upon the right prechiasmatic optic nerve and protrusion into the right cavernous sinus. The internal carotid artery flow voids are intact.
Interval increase in size of the invasive pituitary tumor.