Female, 60 years old, with history of parotid cancer with lymph node metastases. Brain:Scattered foci of FLAIR hyperintensity are demonstrated in the cerebral white matter and pons, without significant interval change. No diffusion restricting lesions are seen. No edema or mass effect is detected. There is no pathologic parenchymal or left meningeal enhancement. No abnormal extra-axial fluid collections or evidence of intracranial hemorrhage is seen. Ventricular size and morphology remain within normal limits.Neck:Postoperative findings are redemonstrated compatible with right parotidectomy, right neck dissection and radiotherapy. No masslike lesion or pathologic enhancement is seen in the operative bed. Persistent enhancement of the geniculate, tympanic and mastoid portions of the right facial nerve are again seen similar to prior. The right submandibular gland remains smaller than the left. No pathologic adenopathy is detected in the visualized portion of the neck. T2 hyperintense material within the subcutaneous tissues of the face may reflect prior cosmetic instrumentation. The right mastoid air cells remain opacified similar to prior.
1.No evidence of intracranial metastases.2.Redemonstration of postoperative and posttreatment findings in the neck with no evidence of recurrent tumor or pathologic adenopathy.3.Persistent enhancement of the right facial nerve is redemonstrated without significant interval change.