Benign neoplasm of pituitary gland [D35.2], Reason for Study: ^Reason: Known pituitary macroadenoma, eval invasion, mass effect History: Known pituitary macroadenoma, no imaging in house, all from OSH 61 years Male (DOB:12/17/1955)Reason: Known pituitary macroadenoma, eval invasion, mass effect History: Known pituitary macroadenoma, no imaging in house, all from OSHPROVIDER/ATTENDING NAME: SANDEEP NATHAN There is a relatively well-circumscribed T1 low, T2 Main the low signal intensity with the some high signal intensity foci with reasonably homogeneous enhancement mass of pituitary gland [ CC:20.7mm x RL:20.6mm x AP:23.1mm]. The mass abuts optic chiasm superiorly and widening sellar turcica,On post Gad enhancement scan, the differentiation between the mass and mesial aspects of bilateral cavernous sinuses is not possible but certainly the mass does not appear to encircle cavernous sinus segment of ICAs bilaterally.The orbits and contents are unremarkable.  The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Pituitary macroadenoma which abuts optic chiasm superiorly and mesial aspects of bilateral cavernous sinus segment of ICA.2. No evidence of intra tumoral acute hemorrhage.