Male, 43 years old, with headache and behavioral changes. Pituitary adenoma status post craniotomy and resection on 06/10/16 Please note that the available prior MRI consists of MR angiographic sequences only. There are no conventional brain images or dedicated pituitary MR images to serve as a comparison. The previously demonstrated sellar and suprasellar mass has been significantly debulked, likely via a transsphenoid approach based on the appearance of the postoperative CT. Dark signal within the right aspect of the sella likely represents susceptibility related to chronic blood product and/or mineralization.The residual pituitary gland is heterogeneous and small. The pituitary infundibulum enhances normally and is deviated towards the right. The suprasellar space is clear and there is no impingement upon the optic apparatus.
Expected findings are seen status post debulking of a previous large sellar and suprasellar mass. The residual pituitary gland is small and heterogeneous. The suprasellar space is clear.