Female, 49 years old, with pituitary adenoma, off Dostinex for one year, assess for changes. The right aspect of the pituitary gland remains slightly fuller than the left, a stable finding over multiple prior studies. Contrast enhancement within the right aspect of the gland is very slightly heterogeneous, also unchanged. No discretely measurable mass is identified within the pituitary gland on the present study and no new abnormalities are detected. The pituitary stalk continues to enhance normally and sits at midline. No encroachment of the suprasellar cistern is seen. The visualized optic apparatus is unremarkable. Incidental note is made of a subcentimeter enhancing focus within the right frontal white matter which is stable dating back to 2003 and which likely represents a small vascular anomaly.
Very slight heterogeneity of contrast enhancement persists in the right aspect of the pituitary gland which may reflect the previously treated lesion at this location. No new or concerning findings are seen on today's study.