 There is a pituitary mass that measures up to approximately 12 mm, which is grossly unchanged. The infundibulum is mildly deviated to the right. There is no mass effect on the optic apparatus. The posterior pituitary bright spot is intact. There is no evidence of cavernous sinus invasion. There is partially imaged cerebral volume loss. There is an unchanged 4 mm wide outpouching along the lateral aspect of the left cavernous carotid artery. The known left ophthalmic artery aneurysm is barely discernible on this exam due to technique. There are prominent arachnoid granulations in the right greater wing of the sphenoid with slight herniation or the intracranial contents.
1. No significant interval change in the pituitary mass that measures up to 12 mm, which likely represents a macroadenoma.2. The small left internal carotid artery aneurysms are better depicted on the recent CTA. 3. Prominent arachnoid granulations in the right greater wing of the sphenoid with slight herniation or the intracranial contents.