Noncontrast axial images have been obtained prior to planned transphenoidal pituitary surgery. Outside images unavailable for direct comparison.
A right-sided suprasellar mass has a broad contact with the heavily calcified right supraclinoid internal carotid artery.
The nasal septum is midline. A small amount of mucosal swelling shown in the right ethmoid sinus, and even less in the maxillary sinuses. The ostiomeatal complexes are patent and normal.
Supraorbital Haller cells noted.
A large pterygoid recess is shown in the left sphenoid sinus, anteriorly the bony septum lies to the right of the midline-posteriorly two bony septa are shown, the floor of the sella appears intact.