Male, 59 years old, with history of pituitary adenoma status post resection with visual field changes. A hypoenhancing lesion involving the right sella with extension to the cavernous sinus measures 14 mm AP x 5 mm TV x 5 mm SI, previously 15 mm x 8 mm x 9 mm.Heterogeneous tissue involving the left aspect of the sella and left cavernous sinus likewise appears similar to prior. No new intrasellar lesions are seen.The pituitary infundibulum deviates mildly toward the left which is unchanged. No large suprasellar masses are seen. The optic chiasm and optic nerves do not appear to be impinged.Sequelae of prior transsphenoidal sellar surgery is seen with residual mucosal thickening in the sphenoid sinuses, not significantly changed.
Mild interval reduction in the size of a soft tissue lesion involving the right sella and cavernous sinus. Tissue in the left aspect of the sella and cavernous sinus show no significant interval change. No suprasellar tumor extension is seen, and there is no obvious impingement of the optic chiasm or optic nerves.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.