Clinical question: hx transphenoidal. f/u 3 months post op eval for change. Signs and Symptoms: surveillance imaging. Pre and post enhanced pituitary MRI:Examination demonstrate stable post operative changes of pituitary without change or residual or recurrence of tumor.Mild thickening of the pituitary stalk with normal pattern of enhancement similar to prior study.Stable residual atrophic pituitary or post operative scar on the left which the pituitary stock terminates into and similar to prior exam.Unremarkable bilateral cavernous sinuses. Basal cistern is unremarkable.Orbits, visualized paranasal sinus and mastoid air cells are unremarkable.
Stable post operative changes of transphenoidal pituitary hypophysectomy without residual or recurrence of tumor. 