Pituitary adenoma status post surgery. There are postoperative findings related to left frontal craniotomy for debulking of a sellar and suprasellar mass, which appears to have slightly increased in size in the bilateral cavernous sinuses, with encasement of the bilateral internal carotid arteries. There is persistent mass effect upon the adjacent brain and brainstem and inferior extension into the sphenoid sinuses. There are areas of susceptibility effect within the tumor and along the surgical approach related to prior hemorrhage. There is also confluent high T2 signal in the brain parenchyma surrounding the surgical approach. There is associated ex vacuo dilatation of the left lateral ventricle and mild dilatation of the right lateral ventricle. There is no evidence of acute infarct. There is no residual subgaleal collection.
Postoperative findings related to left frontal craniotomy for debulking of a sellar and suprasellar pituitary adenoma, which appears to have slightly increased in size in the bilateral cavernous sinuses.