Surgery and radiation therapy for prolactinoma. There are unchanged post-treatment findings in the region of the sella. In particular, there is unchanged thickening, enhancement, and rightward deviation of the pituitary stalk. There is also an unchanged nonspecific subcentimeter nodular focus of enhancement, as well as several fine linear enhancing bands in the left sella. The optic apparatus appears unchanged, with mild prolapsed and distortion likely attributable in part to adhesions. There is unchanged mild prolapse of the posterior left gyrus rectus into the enlarged sella. The cavernous internal carotid artery flow voids appear to be intact. There are partially imaged nonspecific scattered foci of cerebral white matter T2 hyperintensity.
No significant interval change in the appearance of the sellar and parasellar contents with superimposed treatment findings. 