Update: Surgery is Needed

I received a phone call from UCLA today and have received a copy of my MRI report...here's the results:

IMPRESSION:

1. SINCE 5/25/05, THERE HAS BEEN INTERVAL RESECTION OF THE LARGE SELLAR AND SUPRASELLAR MASS MOST COMPATIBLE WITH A MACROADENOMA. THERE IS SOME DECREASED SIGNAL INTENSITY ON T1 WHICH IS NONENHANCING WITHIN THE LATERAL ASPECT OF THE LEFT CAVERNOUS SINUS WHICH COULD REPRESENT SOME RESIDUAL MASS. THERE IS ALSO A PROMINENT FOCUS OF ENHANCEMENT NOTED POSTERIOR TO THE RIGHT CAVERNOUS INTERNAL CAROTID ARTERY WHICH WAS NOT DEFINITELY IDENTIFIED ON THE PRIOR STUDY . THIS MAY REPRESENT SOME DEVELOPING MASS. ONLY SERIAL STUDIES CAN DOCUMENT STABILITY

2. T1 AND T2 PROLONGATION NOTED WITHIN THE SPHENOID SINUSES BILATERALLY WITH THE LEFT SIDE SLIGHTLY MORE INVOLVED THAN THE RIGHT. THE RELATIVE CONTRIBUTIONS OF RESIDUAL POSTOPERATIVE CHANGES AND PARANASAL SINUS DISEASE IS DIFFICULT TO DETERMINE.

Dr. Kelly wants to remove the titanium mesh and drain the spenoid sinus of any infection. As far as the residual tumor in the left cavernous sinus, I knew that was always a possibility. However, the developing mass posterior to the right cavernous internal carotid artery is new and I will discuss this with Dr. Kelly to see if he agrees with the findings - I'm hoping it's nothing more than post operative changes.