Macroadenoma without history of surgery. There is redemonstration of T1 hypointense and T2 hyperintense tissue within the enlarged sella consistent with macroadenoma. This is located in the interim left lateral aspects of the sella, with relative hypoenhancement as compared to adjacent normal enhancing glandular tissue tissue. The lesion again invades the clivus along the inferior and posterior margins of the sella. The medial aspect of the left cavernous sinus is likely involved. The mass again measures 13 x 10 mm on 3/7, not significantly changed even dating back to 2003.The native pituitary gland is displaced to the right superior aspect of the sella where it enhances normally and appears stable compared to multiple prior exams. The pituitary stalk demonstrates normal enhancement and is very minimally deviated to the right. The optic chiasm and visualized portions of the optic nerves bilaterally are unremarkable. Flow-voids are visualized in the cavernous carotid arteries without significant narrowing.Incidental note is made of fluid within a degenerated right temporomandibular joint.
Continued stable appearance of macroadenoma with invasion of the clivus and the left cavernous sinus.