History pf meningioma resection 2013: surveillance. Pituitary: There are postoperative findings related to frontal craniotomy for partial resection of a mass along the planum sphenoidale. There is no significant interval change in size of the residual enhancing extra-axial mass within the sella, basal cistern, bilateral cavernous sinuses, along the dorsal aspect of clivus and minimally along the planum sphenoidale. Indeed, the mass measures up to approximately 4 cm in traverse dimension, previously also 4 cm. The mass encases the pituitary gland and bilateral carotid siphons without significant narrowing of the vessels. There is also enhancement of the bone marrow of the clivus. There is associated mass-effect upon the bilateral prechiasmatic optic nerves and anterior optic chiasm. Brain: There is no evidence of intracranial hemorrhage or acute infarct. The brain parenchyma appears unremarkable. There is no abnormal intracranial enhancement. The ventricles are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
No significant interval change in the residual sellar and parasellar meningioma.