58-year-old female with chronic history of sinusitis. Patient has history of complex pituitary surgery there is a moderate. Small amount of soft tissue and air density within the sphenoid sinus is noted. There is also presence of air within the sella and a defect across the floor of the sella and across the floor of the sphenoid sinus. All these findings are believed to be secondary to transsphenoidal hypophysectomy. No clinical information regarding the date of the procedure is provided. The amount of Bob soft tissue/fluid density within the sphenoid sinus is more than what was noted on prior study of 9 -- 24 -- 07.Very minimal mucoperiosteal thickening within the dependent portion of bilateral maxillary sinuses is again identified. These were noted on prior MRI examination from 2/27/08 and prior CT examination of the sinuses dated 9 -- 24 -- 07. TheOMUs of maxillary sinuses remain patent.
1.Postoperative changes of the sphenoid sinus and sella as detailed above.2.Very minimal residual mucoperiosteal thickening in the dependent portion of maxillary sinuses as detailed.3.4.