History of adenoid cystic carcinoma of the parotid gland status post surgery. Rule out recurrence. Brain:No abnormal signal is seen on the T2, FLAIR or diffusion weighted images. No abnormal enhancement is identified. There is no evidence mass or edema. There are numerous foci of punctate susceptibility artifact predominantly within the right temporal lobe, brainstem, and cerebellum, which are compatible with tiny microhemorrhages and presumably sequela from prior radiation therapy.The ventricles and basal cisterns are normal in size and configuration. The expected intracranial vascular flow voids are present.The paranasal sinuses are clear. Stable partial opacification of the right mastoid air cells. The orbits are unremarkable.Neck:Posttreatment changes in the neck including resection of the right parotid gland as well as atrophy of the right submandibular gland. Stable appearance of the tongue with volume loss of the right hemitongue and posterior ptosis of the left tongue base. No enhancing soft tissue mass to indicate a recurrence. No lymphadenopathy. The thyroid, left parotid, and left submandibular glands are unremarkable. Biapical scarring in the lungs. The cervical spine demonstrates mild multilevel degenerative changes without suspicious osseous lesions.
1. No evidence of metastatic disease in the brain.2. Stable posttreatment changes in the neck related to prior right parotid tumor without evidence of locoregional tumor recurrence.