Follow up pituitary adenoma treated with cabergoline. There is overall continued interval decrease in size of the pituitary tumor, particularly the suprasellar component that extends along the planum sphenoidale. Indeed, the tumor measures up to 22 mm in the craniocaudal dimension, previously 27 mm. There is consequently decreased mass effect upon the right gyrus rectus and optic apparatus. There is mild volume loss in the anterior gyrus rectus, perhaps related to chronic ischemia from mass effect. There is persistent extension of tumor in the bilateral cavernous sinuses, left greater than right, with encasement of the left cavernous internal carotid artery, but less mass effect. The infundibulum is deviated to the right.
Continued interval decrease in size of the pituitary macroadenoma.