Left alveolar palate composite resection for invasive squamous cell carcinoma. There are postoperative findings related to left palatectomy and partial maxillectomy with an oroantral fistula. There is no evidence of measurable locoregional mass lesions or significant cervical lymphadenopathy based on size criteria. There are bubbly secretions in the left maxillary sinus. There is a right thyroid nodule that measures up to 12 mm. The major salivary glands are unremarkable. There is multilevel degenerative spondylosis with indentation of the spinal cord at C3-4 and C4-5. The imaged intracranial structures are unremarkable, aside from a prominent perivascular space in the right basal ganglia region. The orbits are unremarkable. There is minimal fluid within the left mastoid air cells.
1. Postoperative findings with an oroantral fistula, but no evidence of measurable locoregional mass lesions or significant cervical lymphadenopathy, although assessment is limited by the lack of intravenous contrast.2. Nonspecific right thyroid nodule that measures up to 12 mm.