 Redemonstrated are right frontal postoperative changes with underlying encephalomalacia and gliosis along the right frontal lobe.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are is no midline shift. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is a relatively homogeneously enhancing mass arising from the sella measuring up to 30 mm craniocaudal by 24 mm transverse by 22 m AP dimension. It significantly bows the optic apparatus superiorly, and there is associated T2 hyperintensity within the right optic tract. It enters into the cavernous sinuses bilaterally, however without demonstrable narrowing of the internal cavernous carotids.
1.Redemonstrated are right frontal postoperative changes with underlying encephalomalacia and gliosis along the right frontal lobe.2.There is a relatively homogeneously enhancing mass arising from the sella measuring up to 30 mm craniocaudal by 24 mm transverse by 22 m AP dimension, most suggestive of a microadenoma. It significantly bows the optic apparatus superiorly, and there is associated T2 hyperintensity within the right optic tract. It enters into the cavernous sinuses bilaterally, however without demonstrable narrowing of the internal cavernous carotids.