 ORBITS: The globes, lenses, extraocular muscles, optic nerves, optic chiasm, and intraconal space are symmetric and normal. The orbital soft tissues are normal. There is no abnormal enhancement.The imaged intracranial contents are unremarkable, without evidence of mass, mass effect, hemorrhage, or acute infarct. There is minimal mucosal thickening of the bilateral maxillary sinuses and nasal cavity. There is mild leftward nasal septum deviation. NECK: The minimal diffuse mucosal thickening in the nasopharynx, oropharynx, and hypopharynx is unchanged. The effacement of the mucosal contours of the posterior nasopharynx are similar to prior. Asymmetry in the left oropharynx is noted and appears similar to prior. There is no enhancing mass identified. The salivary and thyroid glands appear within normal limits. There are small scattered lymph nodes, which are not enlarged by size criteria. Again noted is a left paracentral disc protrusion at C4-5, which effaces the left ventral spinal cord and contributes to mild to moderate spinal canal narrowing. There is T1 shortening of the skull base and upper cervical vertebrae, compatible with prior radiation therapy.
1. No MR evidence for local tumor recurrence or cervical lymphadenopathy.2. Unremarkable MRI of the orbits.