 There are post-treatment findings in the nasopharyngeal region. There has been interval decrease in the enhancing lesion in the superior right parasagittal posterior nasopharynx, with mild asymmetric prominence on that side, but no discretely measurable tumor. There is no evidence of skull base invasion or intracranial extension. The pre-vertebral, parapharyngeal, and masticator spaces are intact. There is no significant lymphadenopathy in the neck. The parotid and submandibular glands are unremarkable. There is a possible punctate right vocal cord cyst. There is degenerative spondylosis in the cervical spine, which is most pronounced at C4/5. There are secretions and mucosal thickening in the left sphenoid sinus.
1. No measurable residual nasopharyngeal carcinoma and no evidence of significant cervical lymphadenopathy.2. Findings suggestive of acute left sphenoid sinusitis. 