24-year-old female with previous oral surgery for recurrent tongue cancer including neck dissection There are new postprocedural changes involving the left neck, including ill-defined enhancement throughout the operative region with associated STIR T2 hyperintensity. However, previously demonstrated prominent left level 1B and level 2A lymph nodes are no longer present.Previously demonstrated nodular enhancement along the dorsal margin of the surgical flap in the right oral tongue has decreased in conspicuity. There is also decreased T2 signal (as best visualized on coronal STIR technique).There is increased T2 signal involving the left oral tongue (as best visualized on coronal STIR technique) suggesting postprocedural changes, however a previously demonstrated 7 mm diameter enhancing nodule in the left sublingual space is significantly smaller and is no longer measurable.Redemonstrated are postoperative findings related to right glossectomy with flap reconstruction and neck dissection. Previously demonstrated enhancing nodules within the right parotid gland have overall decreased in size, although the largest is unchanged measuring up to 14 mm when measured on diffusion imaging at the same location utilized previously (previously 14 mm).There is no new clinically significant lymphadenopathy.Mild mucosal thickening in the maxillary sinuses is unchanged. The osseous structures appear to be grossly intact. The thyroid gland, orbits, and imaged intracranial structures are unremarkable.
1.There are new postprocedural changes involving the left neck, including ill-defined enhancement throughout the operative region with associated STIR T2 hyperintensity. However, previously demonstrated prominent left level 1B and level 2A lymph nodes are no longer present.2.Previously demonstrated nodular enhancement along the dorsal margin of the surgical flap in the right oral tongue has decreased in conspicuity. There is also decreased T2 signal.3.There is increased T2 signal involving the left oral tongue suggesting postprocedural changes, however a previously demonstrated 7 mm diameter enhancing nodule in the left sublingual space is significantly smaller and is no longer measurable.4.Previously demonstrated enhancing nodules within the right parotid gland have overall decreased in size, although the largest is unchanged.