38 years Male (DOB:8/14/1977)Reason: ? extent of resection History: panhypopituitarismPROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE MRI pituitary:Since prior examination patient has undergone transsphenoidal surgery for a pituitary mass. On the current exam the overall dimensions of the patient's mass were 29 x 20 x 24 mm. On the prior exam the mass measured 36 x 24 x 26 mm. There is a central nonenhancing component which has T1 signal hyperintensity within it suggestive of blood products. There is suprasellar extension. The mass is 1 or 2 mm below the level of the optic chiasm on the current exam whereas previously it was abutting the. There is opacification of the sphenoid sinus and there is mucosal thickening in the maxillary sinuses and ethmoid air cells.
Since the prior exam there is been surgical debulking of the patient's pituitary mass suspected to represent pituitary adenoma. There is somewhat less mass effect on the current exam when compared to the prior.