Vvisual field testing abnormal, please evaluate for possible pituitary tumor. Pituitary: There is a pituitary mass with suprasellar extension that measures up to 29 mm. There is associated mass effect upon the optic apparatus, cavernous sinuses, and hypothalamus. Although the tumor abuts and perhaps partially encases portions of the internal carotid arteries, the flow voids are intact. Brain: There are two adjacent enhancing extra-axial masses along the left superior frontal convexity that measure up to 9 mm in width and 14 mm in width. The larger lesion demonstrates associated hyperostosis of the calvarium. There is no significant mass effect upon the underlying brain parenchyma. There are minimal scattered foci of nonspecific cerebral white matter T2 hyperintensity. There is no evidence of acute infarct. There are mild scattered nonspecific foci of T2 hyperintensity in the cerebral white matter. There is diffuse cerebral volume loss. There is no midline shift or herniation. There is a right scleral band and bilateral lens implants.
1. Pituitary macroadenoma measuring up to 29 mm with supersellar extension and mass effect upon the optic apparatus, cavernous sinuses, and hypothalamus. 2. Two adjacent meningiomas along left superior frontal convexity that measure up to 9 mm in width and 14 mm in width. 3. Diffuse cerebral volume loss.