61 years Male (DOB:11/28/1954)Reason: eval for stroke, and assess right ventricular mass History: Left sided weaknessPROVIDER/ATTENDING NAME: RAYMOND A ROOS RAYMOND A ROOS There is redemonstration of status post transsphenoidal pituitary surgery. There is a sellar and suprasellar mass present associated with some extension into the left cavernous sinusA small focus of encephalomalacia is present in the right cerebellar hemisphere. Another small focus of encephalomalacia is present in the right pons. Punctate lesion is redemonstrated in right globus pallidus several other punctate lesions are present in the left thalamus and external and internal capsules. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. These are stable compared to the prior exam.Incidental note is made of cavum septum pellucidum and vergae. Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus. The left A1 segment appears to be small. The right vertebral artery smaller than the left vertebral artery.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.Exam is somewhat degraded due to patient motion.
1.There is a pituitary fossa mass present which in general appear similar in dimensions compared to the prior exam, however, this is not a pituitary study and subtle changes in size would not be readily appreciated on the current exam.2.Small foci of encephalomalacia in the right cerebellar hemisphere and pons related to prior foci of infarction now on chronic stage.3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related.