Benign neoplasm of pituitary gland [D35.2] / Benign neoplasm of craniopharyngeal duct [D35.3] / Benign neoplasm of pituitary gland [D35.2], Reason for Study: ^Reason: Benign neoplasm of pituitary gland and craniopharyngeal duct (pouch), yearly follow up Pituitary MRIRedemonstration of convoluted shaped recurrent pituitary mass which is encasing right cavernous sinus ICA and extends toward left side suprasellar cistern, unchanged. The mass is measured about 23.6mm (AP measured on contrast enhanced sagittal scan) x 30.9mm (RL measured on T2 coronal scan) x 21.4mm CC measured on T2 coronal scan) which is unchanged since prior scan. The size, configuration and MR signal intensities appear to be stable, unchanged.The orbits and contents are unremarkable.  Brain MRIThere is no evidence of acute ischemic or hemorrhagic lesion. The sellar mass with suprasellar and right cavernous sinus extension is again seen, appears to be stable since prior scan.Scattered FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter are seen, indicating non specific small vessel ischemic disease, unchanged since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Recurrent pituitary mass with suprasellar as well as right cavernous sinus extension, stable in terms of size, configuration and MR characteristics.2. No evidence of acute ischemic or hemorrhagic lesion. No other abnormal enhancement.3. Unchanged non specific FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter.