Pituitary tumor and meningioma: yearly follow up. Pituitary: There are postoperative findings related to transsphenoidal surgery. There is no significant interval change in the pituitary mass with suprasellar and bilateral cavernous sinus extension, as well as invasion into the clivus. The tumor measures up to approximately 40 mm. Furthermore, there is unchanged encasement of the left juxtasellar internal carotid artery and mass effect upon the optic apparatus, which displays volume loss. Brain: There are postoperative findings related to right frontal craniotomy with anterior right frontal lobe encephalomalacia. There is no significant interval change in the multiple dural-based enhancing mass lesions, including along the tentorium with mass effect and edema in right occipital lobe, in the left anterior sylvian region, right frontal convexity and along the left anterior falx cerebri. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, paranasal sinuses, skull, and scalp soft tissues appear unchanged.
1. No significant interval change in the invasive pituitary macroadenoma with massa effect upon the optic apparatus and encasement of the left internal carotid artery.2. No significant interval change in the multiple intracranial meningiomas, including the dominant left tentorial lesion with associated right occipital lobe edema.