47 year-old Female.INDICATIONS: Reason: pituitary macroadenoma treated previous transsphenoidal surgery and srs treatment; yearly follow up for changes or growth History: surveillance. Brain: There is no mass, mass effect, or midline shift. There is no abnormal enhancement within the brain.The ventricles and sulci are normal in size. No diffusion-weighted abnormalities are identified. There is no evidence of acute intracranial hemorrhage. There are no extra-axial fluid collections or subdural hematomas. Focus of encephalomalacia in the right centrum semiovale is unchanged. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.Pituitary: Again noted is distortion of the pituitary fossa, related to prior adenoma and surgery. Rightward deviation of the optic chiasm/pituitary infundibulum and surrounding mild linear enhancement are unchanged. No new or enlarging lesion. The suprasellar cistern, cavernous sinuses, and orbital contents are otherwise unremarkable.
1.Unchanged posttreatment changes in the sella. No new or enlarging lesion.2. Unchanged focus of encephalomalacia in the right centrum semiovale. 