The mental status evaluation was mostly unremarkable except for visual hallucination. The most recent brain MRI images; Figure 1; Sagital T2-weighted image showing a solid multilobulated mass measuring 3.4cm by 3.8cm by 2.7cm centred in an expanded sella, with no separate pituitary gland identified. Figure 2; Axial T2-weighted image shows the mass extending into sphenoid and posterior ethmoid sinuses and the suprasellar and interpeduncular cisterns compressing the right aspect optic chiasm and optic nerves atrophy.