Reason: pre op planning for pituitary tumor, T2 and T1 post thin cuts please. needs fiducials History: pre-op planning for pituitary tumor There is redemonstration of a 19 x 34 mm sagittal dimension mass involving the pituitary fossa and suprasellar cistern which expands the pituitary fossa and extends laterally into the cavernous sinus regions. Superiorly it displaces the optic chiasm superiorly and impresses upon the inferior aspect of the hypothalamus - left more than rightNormal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Sellar and suprasellar mass is consistent with pituitary adenoma. It is unchanged in dimensions and compared to the prior exam from October.2.Examination was obtained for stereotactic guidance.