Evaluate lymph nodes in neck prior to scheduling surgery for lesion removal on right ear: mass to right ear in patient with history of angiosarcoma. There an exophytic nodule along the inferior right auricle that measures up to 15 mm. The tumor appears to be confined to the auricle, without evidence of invasion of the underlying temporal bone. There is no evidence of significant cervical lymphadenopathy. The salivary glands, thyroid, and upper aerodigestive tract are unremarkable. There are bilateral retropharyngeal internal carotid arteries. There appears to be a small defect in the inferior right orbit, with herniation of orbital fat. There is a right maxillary sinus retention cyst. There is patchy white matter T2 hyperintensity in the pons and bilateral cerebral hemispheres, which may represent chronic small vessel ischemic disease.
Right auricle tumor. No evidence of significant cervical lymphadenopathy.