 There is no diffusion abnormality. No intracranial mass or mass effect. The ventricles and sulci are within normal limits for age. Again seen are scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter which are nonspecific but consistent with chronic small vessel ischemic disease. There appears to be a small cortical/subcortical infarct involving the left middle frontal gyrus and also present previously. No extra-axial fluid collection is identified. Multiple scattered punctate foci of susceptibility throughout the brain are again seen and compatible with chronic microhemorrhages, grossly similar to prior. There is mild mucosal thickening in the maxillary sinuses with small bilateral mucus retention cysts.MRI PITUITARY
1. No evidence of residual or recurrent pituitary tumor within the limits of noncontrast study.2. Unchanged right paraophthalmic aneurysm compared to 12/16/2015 and 11/1/2014.