Suprasellar meningioma, surveillance There is no significant change in size or appearance of the homogenously enhancing dural-based mass along the planum sphenoidale that projects into the suprasellar cistern and measures 19 x 15 x 15 mm in the AP, transverse, and craniocaudal dimensions. There is minimal if any enlargement compared to examinations dated back to 2/15/2013. Again seen is associated mass effect upon the optic chiasm and pituitary gland. The mass abuts the right cavernous sinus without evidence of invasion. Mass is also noted to abut the right supraclinoid internal carotid artery and the bilateral A1 segments of the anterior cerebral arteries. Remainder of the brain is unremarkable for patient's age with no other masses or mass effect. There is unchanged mild nonspecific scattered cerebral white matter T2 hyperintensity likely representing mild chronic small vessel ischemic changes. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles are unchanged in size and configuration. Bone marrow signal and extracranial soft tissues are unremarkable.
No significant change in the planum sphenoidale/suprasellar meningioma with mass effect on the optic chiasm and pituitary gland.  