37-year-old female with history of pituitary tumor and meningioma, yearly follow-up. Evaluate for changes. Pituitary: Again seen is a pituitary macroadenoma measuring up to 15 mm craniocaudally (series 1901, image 10), 16 mm in the AP dimension and 22 mm in the transverse dimension (series 2101, image 15). There is mass effect with expansion of the sella and superior extension into the suprasellar cistern. There is minimal elevation of the optic chiasm but no mass effect upon the cavernous sinuses. The signal intensity, morphology and extent of this tumor is unchanged when compared to the prior exam.Brain: There is interval increase in size of well demarcated, dural based enhancing lesion along the right parietal region measuring 6 x 9 mm (series 2101, image 23), previously measuring 4 x 6 mm. Punctate focus of increased T2/FLAIR hyperintensity in the subcortical white matter of the left parietal lobe is a nonspecific finding and has remained stable since at least 5/30/2009.There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is partial opacification of the left maxillary sinus. The orbits, skull, remaining paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Unchanged pituitary macroadenoma.2. Interval increase in size of extra-axial right parietal dural based enhancing mass, likely representing a meningioma.2. Punctate focus of nonspecific T2/FLAIR hyperintensity in the left parietal lobe is unchanged.