Patient presents with symptoms suggestive of pituitary adenoma, including [specific symptoms e.g., headaches, visual disturbances such as bitemporal hemianopsia, amenorrhea galactorrhea, acromegaly, Cushing's disease symptoms if applicable].  On physical examination, [relevant findings e.g., visual field deficits, signs of hormonal excess or deficiency].  Differential diagnosis includes other sellar and parasellar lesions, such as craniopharyngioma, meningioma, and Rathke's cleft cyst.  Biochemical evaluation revealed [hormonal levels e.g., elevated prolactin, growth hormone, ACTH, or decreased FSH, LH, TSH].  MRI of the brain with pituitary protocol demonstrated a [size and characteristics of adenoma e.g., 1.5 cm x 1.0 cm homogenous enhancing lesion within the sella turcica, with suprasellar extension].  Given the clinical presentation, imaging findings, and laboratory results, the diagnosis of pituitary adenoma is established.  Treatment options discussed include medical management with [specific medications if applicable e.g., dopamine agonists, somatostatin analogs], surgical resection via transsphenoidal approach, and radiation therapy.  Risks and benefits of each treatment modality were explained to the patient.  The patient will follow up for repeat imaging and hormonal evaluation to monitor treatment response.  ICD-10 code D35.2 is assigned.  CPT codes for services rendered will be documented separately.  Further evaluation and management will be based on the patient's clinical course and response to therapy.