Male, 68 years old, with sellar mass, assess for changes. Again seen is a large heterogeneously enhancing mass occupying the sella and suprasellar cistern with involvement of the left cavernous sinus and perhaps the right as well. The lesion measures 33 mm CC, 38 mm AP and 48 mm transverse which is not significantly changed from the prior exam. As before, there is mass effect on the optic apparatus. Tumour invades the sphenoid sinuses and pneumatized sphenoid wings with obstructive opacification. Redemonstrated is evidence of prior frontal craniotomy with encephalomalacia of the left frontal lobe.
No significant change in the size of a large tumor involving the sella, suprasellar cistern and cavernous sinuses.