 There is enlargement of the adenoids, which measures up to approximately 15 mm. In addition, the usual adenoidal striations are not clearly evident, at least on the right side. There is no significant lymphadenopathy in the upper neck and retropharyngeal region. The skull base appears to be intact. The imaged intracranial structures are unremarkable. There are postoperative findings related to right mastoidectomy with as trace amount of fluid in this region. There is also a trace amount of fluid in the left mastoid region. There is scattered paranasal sinus mucosal thickening and leftward nasal septal deviation. The orbits, salivary glands, and superficial facial soft tissues appear unremarkable.
1. Enlargement of the adenoids up to approximately 15 mm, which may represent a neoplastic process. 2. Diffuse paranasal sinus disease.3. Right mastoidectomy and trace nonspecific bilateral mastoid region fluid, although the images are not optimized for dedicated assessment of pathology in this region. Therefore, a temporal bone CT may be useful for further evaluation, if clinically warranted.