Change in size of pituitary macroadenoma: Chronic left eye visual loss. There are postoperative findings related to prior frontal craniotomy with a large area of encephalomalacia of the anterior left frontal lobe and ex vacuo dilatation of left lateral ventricle. There appears to be slight interval increase in size of the heterogeneous sellar mass with extension into the cavernous sinuses, mass effect upon the optic chiasm, and invasion of the sphenoid sinuses. The tumor measures up to 45 mm in width, 34 mm in height, and 38 mm in length. There is encasement and narrowing of the left cavernous carotid and a small left cavernous carotid aneurysm.
1. Postoperative findings related to prior frontal craniotomy with a large area of encephalomalacia of the anterior left frontal lobe.2. Apparent slight interval increase in size of the heterogeneous sellar mass with extension into the cavernous sinuses, mass effect upon the optic chiasm, and invasion of the sphenoid sinuses. 3. Encasement and narrowing of the left cavernous carotid and a small left cavernous carotid aneurysm.