33 years Female (DOB:12/15/1982)Reason: STEALTH MRI, IN CCD at 6:00am pre-operative, PLEASE PAGE NEUROSURGERY RESIDENT TO PLACE FIDUCIALS History: Pituitary macroadenomaPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD The CSF spaces are appropriate for the patient's stated age with no midline shift. The pituitary gland is large and heterogeneous in signal intensity. It measures approximately 11 mm in height. It is unchanged compared to the prior exam from 4/18/2016No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate some mucous retention cysts. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.The pituitary gland is large and heterogeneous. One possibility is that this represents sequela of necrosis.2.This examination was performed the purpose of stereotactic guidance