Pituitary adenoma with recent progression. There is an enhancing left sellar mass that extends into the left cavernous sinus with encasement of the left internal carotid artery. The mass also extends into the left sphenoid sinus. Overall, the mass measures up to approximately 2 cm. There is no mass effect upon the optic apparatus. The pituitary infundibulum is intact.
No significant interval changed in the pituitary macroadenoma with extension into the left cavernous sinus, where there is encasement of the left internal carotid artery, and extension into the left sphenoid sinus. 