67-year-old male experiencing right upper extremity weakness, history of invasive squamous cell carcinoma of the supraciliary ridge with chemoradiation treatment Motion is present on several series due to patient pain and sleeping. Repeat sequences were performed when possible. Given this caveat:Brain MRI:Redemonstrated are post-treatment findings in the left supraciliary region with a persistent infiltrative enhancing lesion in the left supra-orbital subcutaneous tissues with extension into the left orbital roof, traversing the frontal bone along the lateral aspect of the left frontal sinus with slight epidural extension and extraconal left orbital extension. Overall, the lesion appears unchanged in appearance given differences in technique.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no brain parenchymal masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. A left maxillary retention cyst is unchanged. The remaining paranasal sinuses and mastoid air cells are clear.Cervical spine MRI:Alignment is normal. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Posterior osteophyte disc complex and bilateral facet hypertrophy. There is moderate left neural foraminal and severe right neural foraminal stenosis.C3/4: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is moderate central and severe bilateral neural foraminal stenosis.C4/5: Posterior osteophyte disc complex eccentric to the left, bilateral uncinate hypertrophy, ligamentum flavum thickening and left facet hypertrophy. There is mild to moderate central and severe bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum flavum thickening. There is mild central, moderate left neural foraminal, and severe right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is severe left neural foraminal and moderate right neural foraminal stenosis.C7/T1: Endplate spurring eccentric to the right causes moderate right neural foraminal stenosis.
1.Redemonstrated are post-treatment findings in the left supraciliary region with a persistent infiltrative enhancing lesion in the left supra-orbital subcutaneous tissues with extension into the left orbital roof, traversing the frontal bone along the lateral aspect of the left frontal sinus with slight epidural extension and extraconal left orbital extension. Overall, the lesion appears unchanged in appearance given differences in technique. Otherwise negative MRI of the brain.2.C2/3: Moderate left neural foraminal and severe right neural foraminal stenosis.3.C3/4: Moderate central and severe bilateral neural foraminal stenosis.4.C4/5: Mild to moderate central and severe bilateral neural foraminal stenosis.5.C5/6: Mild central, moderate left neural foraminal, and severe right neural foraminal stenosis.6.C6/7:Severe left neural foraminal and moderate right neural foraminal stenosis.7.C7/T1: Moderate right neural foraminal stenosis.