48-year-old male. The provided clinical data on the consultation form is illegible. Patient's previous consultation form from CT dated 7 -- 16 -- 08 is reviewed which indicates history of sphenoid sinus cancer status post treatment chemo/RT. Images through the skull base demonstrates extensive surgery at the level of the sphenoid sinus, right ethmoid air cells and nasal cavity. Minimal residual soft tissue densities within this surgical cavity may represent mucosal thickening. There is no evidence of any abnormal enhancement. The cavernous sinuses on this exam appear normal however this should be further evaluated if clinical concern exists with an MRI examination. The bony periphery of the area of surgery remains intact. Extensive chronic sinus disease of the maxillary sinuses is noted.All of the above findings have remained stable since prior study from 7 -- 16 -- 2008.Images through the soft tissues of the neck demonstrates stable left posterior triangle lymph node without enhancement which measures approximately 10.7 mm x 6 .8 millimeter identical to the prior study.No evidence of a mass or pathologic adenopathy is detected. Few additional left cervical nonenhancing non-pathologic lymph nodes are again identified also with no interval change.Limited images of the apices of the lungs are negative for metastatic lesions. No definitive mediastinal lymphadenopathy is detected. Both of these areas would be better evaluated with dedicated CT of chest. Please review report of the CT performed the same date. Bony density of area of exam is negative for metastatic lesions.CT of brain with infusion.No evidence of intracranial metastatic lesion to the brain or the leptomeninges. Extensive postsurgical changes of the sphenoid sinus would residual mucoperiosteal thickening.
1.Stable post therapy changes of the head and neck with no interval change and no evidence of recurrence of disease.2.Unremarkable CT of brain.