History of meningioma and status post resection of pituitary macroadenoma on 2/5/2016. Pituitary: There are postsurgical findings of a pituitary macroadenoma resection. Again seen is a well-circumscribed midline contrast-enhancing lesion measuring up to 12 mm appearing unchanged from the prior study. A smaller, more posterior component along the medial aspect of the left cavernous sinus also appears unchanged. Pituitary infundibular deviation to the right is unchanged. Enhancement involving the right lateral aspect of the sella likely represents residual normal pituitary tissue. While the larger residual mass still has suprasellar extension, there continues to be no significant mass effect. There is unchanged inferior displacement and thinning of the floor of the third ventricle and the optic chiasm.Brain: There are two enhancing, broad-based extra-axial masses along the left superior frontal convexity that are unchanged in size as compared to the prior study. Again seen is hyperostosis of the calvarium adjacent to the larger lesion. There is no significant mass effect upon the underlying brain parenchyma. There are a few scattered foci of nonspecific cerebral white matter T2 hyperintensity. There is no evidence of acute infarct. There is diffuse cerebral volume loss. There is no midline shift or herniation. There is right scleral buckle and bilateral lens implants. The paranasal sinuses are unremarkable.
1. Stable postoperative findings in the pituitary region.2. Stable convexity meningiomas.