 Compared to 2/11/2013 there is unchanged appearance of the minimal enhancing tissue within the medial right cavernous sinus. Enhancing tissue along the floor of the sella on the left, which is in continuity with the left pituitary stalk and likely representing residual pituitary gland, also shows no appreciable change. Left cavernous sinus is unremarkable.As demonstrated previously, there is retraction of the optic chiasm inferiorly related to postsurgical change, however this is unchanged. Left cavernous sinus is unremarkable. Limited visualization of the remainder of the brain demonstrates no intracranial mass or mass effect.
Examination of the sella including minimal enhancing tissue within the medial right cavernous sinus remains unchanged since 2/11/2013. No new or enlarging lesions.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.