78-year-old female with altered mental status. Query mass effect or hemorrhage. Review of medical record indicates history of pituitary tumor. Large sellar mass extending towards the cavernous sinus with rim calcifications is consistent with patient's history of pituitary tumor as has been described on prior MRIs. There is no evidence of intracranial hemorrhage or edema. The ventricles and the basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Large sellar mass consistent with patient's history of pituitary tumor, likely pituitary macroadenoma. Please note that a meningioma is also a differential consideration for this location.2. No acute intracranial abnormality.