 There are postsurgical findings related to transsphenoidal surgery. There is material with low signal components on T1 and T2 sequences within the sphenoid sinuses, which appears to have increased increased in size from prior examination now measuring 2.2 x 2.1 cm, previously 1.5 x 1.4 cm. There is persistent peripheral postcontrast enhancement of the sphenoid sinus related to mucosal inflammation. There is no evidence of tumor within the sella or parasellar region. There is no evidence of intracranial hemorrhage or acute infarct. There is a small right frontal lobe developmental venous anomaly. The brain parenchyma otherwise appear unremarkable. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Findings related to transsphenoidal surgery without evidence of residual tumor.2. Findings suggestive of sphenoid sinus fungus ball with associated mucosal inflammation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.