80-year-old male with pituitary adenoma. Assess for changes. Redemonstration of the lesion within the pituitary gland which is unchanged in size measuring 11 mm x 9 mm; the lesion is isointense on T1, mildly hyperintense on T2 and demonstrates minimal enhancement. The lesion abuts the left cavernous portion of the internal carotid artery by less than 180 degrees similar to prior study. The CSF space between the optic chiasm and the superior aspect of the pituitary gland is effaced on the left, also similar to prior study.Again seen are scattered periventricular and subcortical white matter T2 hyperintense foci which are partially imaged.
Stable exam with unchanged pituitary microadenoma.