37 years Male (DOB:5/15/1978)Reason: pre-op for craniotomy History: pituitary lesionPROVIDER/ATTENDING NAME: DOROTA K HAVLIN CHRISTOPHER L KRAMER There is a 28 mm AP dimension x 38 mm with x 47 mm height sellar and suprasellar nonenhancing mass present associated with expansion of the sella and scalloping of the clivus. Since the prior exam signal characteristics within the mass of changed. It is more heterogeneous on T2 with some hemorrhagic foci on the current exam which were not present on the prior. The optic chiasm is displaced superiorly in the third ventricle is compressed superiorly. The patient is status post transsphenoidal surgery. There is fat packing present within the sphenoid sinus and nasopharynx narrowing the nasopharynx.Normal 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 partially opacified. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Large sellar and suprasellar mass displacing the optic chiasm, hypothalamus and third ventricle with associated scalloping of the clivus and bony remodeling of the sella..2.Status post recent transsphenoidal surgery. 3.Narrowing of the nasopharynx.4.Examination was performed for stereotactic guidance.