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The hypoenhancing pituitary lesion measuring 6 x 7 x 7 mm is unchanged in appearance and size. The pituitary gland is bulky with a convex contour superiorly but there is no contact or exert mass effect on the optic nerves or chiasm. The cavernous sinuses enhance normally. The infundibulum is mildly deviated to the right, unchanged.
The T2 hyperintense lesion of the dorsum sellae is unchanged (stable over 3 years), with loss of normal fat signal and cortical destruction posteriorly. Mild enhancement.
1. Stable pituitary adenoma.
2. the lesion related to the dorsum sella represents an ecchordosis physaliphora. Slightly unusual that is demonstrates some ill defined enhancement.