71 years Male (DOB:12/16/1944)Reason: s/p transphenoidal hypophysectomy 2/5/16, s/p resection of pituitary tumor History: 6 week post-op follow up; s/p resection of pituitary tumorPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD MRI pituitary:The patient is status post transsphenoidal pituitary surgery. Since the prior exam postoperative changes have regressed.There is an 11 x 14 mm coronal dimension pituitary mass. Present which is eccentric towards the left side and has suprasellar extension. The suprasellar extension is just anterior to the optic chiasm.The optic nerves and chiasm are atrophic.The cavernous sinuses are intact bilaterally.There is redemonstration of an extra-axial mass adjacent to the left superior frontal gyrus measuring 27 x 12 mm coronal dimensions and associated with a daughter extra-axial nodule just anterior to it measuring 10 mm in diameter. There is associated thickening of the calvarium immediately adjacent to this lesion.
1.Since the prior exam, postoperative changes involving the pituitary fossa have regressed. There is a pituitary fossa mass present as detailed above which is associated with suprasellar extension. Certainly it is significantly smaller than the preoperative lesion. It could represent residual pituitary adenoma.2.There is redemonstration of an extra-axial mass most likely representing a meningioma adjacent to the left superior frontal gyrus.3.The patient is status post transsphenoidal surgery.