Pituitary and suprasellar mass. There is an enhancing pituitary mass with suprasellar extension that measures up to 28 mm in height The tumor has lobulated components eccentric to the left, with mass effect upon the infundibulum, optic apparatus, hypothalamus, anterior commissure, and left medial temporal lobe. In addition, the tumor extends into the bilateral cavernous sinuses, with partial encasement of the right internal carotid artery. The internal carotid artery flow voids otherwise remain intact. The sella protrudes inferiorly and partially effaces the sphenoid sinuses. The paranasal sinuses otherwise appear to be unremarkable. There are multiple scattered punctate foci of T2 hyperintensity in the cerebral white matter.
Pituitary macroadenoma with mass effect upon the infundibulum, optic apparatus, hypothalamus, anterior commissure, and left medial temporal lobe, as well as extension into the bilateral cavernous sinuses, with partial encasement of the right internal carotid artery. 