Pituitary adenoma surveillance. There is a heterogeneously enhancing mass within the pituitary gland that measures up to 18 mm in craniocaudal dimension. The mass extends into the right cavernous sinus, without encasement of the internal carotid artery. In addition, there is mass effect upon the optic apparatus. There is left lateral deviation of the infundibulum.
No significant interval change in the pituitary mass that likely represents a macroadenoma. 