Pituitary adenoma resection yearly follow up. Pituitary: There are postoperative findings related to transsphenoidal pituitary resection and radiotherapy, including intrasellar adhesions and a defect in the clivus, but no evidence of a discrete tumor. The infundibulum is intact and remains deviated slightly to the right. There is no mass effect upon the optic chiasm or cavernous sinuses. Rather, there is ptosis of the optic chiasm.Brain: There is no evidence of intracranial hemorrhage or acute infarct. There are unchanged scattered cerebral white matter T2 hyperintensities. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unchanged. There are bilateral lens implants. There is a persistent right maxillary sinus retention cyst.
1. Post-treatment findings in the sella without evidence of tumor progression.2. Unchanged moderate probable chronic cerebral small vessel disease.