Patient with history of pituitary macroadenoma, please evaluate for interval change History: history of visual field loss on the left. Again noted is macroadenoma of the pituitary gland, measuring minimally larger compared to prior exam of 11/22/2010. For example, on midline sagittal images, the lesion measures 23 x 24 mm in the AP and craniocaudal dimensions, as compared to 19 x 21 mm on the prior exam. The lesion demonstrates suprasellar extension and mass effect on the left aspect of the optic chiasm, similar to prior. There is abnormal T2 signal within the left optic nerve, which was previously present.Pituitary macroadenoma abuts the cavernous sinuses, right greater than the left, with no clear evidence of invasion. Flow voids for cavernous segment internal carotid arteries are present. The remodeling of the floor of the sella is unchanged. Visualized paranasal sinuses are clear.
Pituitary macroadenoma measures minimally larger as compared to prior exam of 11/22/2010, with unchanged mass effect on the left aspect of the optic chiasm and unchanged signal abnormality the left optic nerve. 