Pituitary macroadenoma: recent transsphenoidal hypophysectomy and left endoscopic anterior ethmoidectomy and maxillary antrostomy. Pituitary: There are recent postoperative findings related to transsphenoidal hypophysectomy and left endoscopic anterior ethmoidectomy and maxillary antrostomy. There is a 10 mm diameter cavity with presumed hemostatic material containing blood products within the residual pituitary tumor, which otherwise measures approximately 22 mm in craniocaudal dimension with persistent mass effect upon the optic apparatus and extension into the bilateral cavernous sinuses. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is fluid and mild mucosal thickening in the left maxillary sinus, as well as partial opacification of the ethmoid air cells. Otherwise, there appears to be packing material in the posterior nasal cavity and sphenoid sinuses. The orbits are grossly unremarkable.Brain: There is no evidence of acute infarct. The brain parenchyma appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation.
1. Recent postoperative findings related to transsphenoidal hypophysectomy and left endoscopic anterior ethmoidectomy and maxillary antrostomy. There is a small cavity with presumed hemostatic material containing blood products within the residual pituitary tumor, which measures approximately 22 mm in craniocaudal dimension with persistent mass effect upon the optic apparatus. 2. No evidence of acute infarct.