Right parotid mass and left neck nodes in PET positive scans: history of right orbitocranial sarcoma. There are prominent bilateral upper cervical lymph nodes, measuring up to 12 x 14 mm in axial cross-section for a left level 2A lymph node. There are also several subcentimeter enhancing nodules in the superficial right inferior parotid gland. There are partially imaged postoperative findings related to right frontal craniotomy and orbitotomy for resection of a right intracranial and orbital mass with diffuse enhancement along the margins of the surgical cavity. In addition, there is decreased fluid and edema in the right superior orbit surgical bed, with associated proptosis. There is diffuse paranasal sinus mucosal thickening.
1. Prominent bilateral upper cervical lymph nodes may represent metastatic disease or a reactive process.2. Several subcentimeter enhancing nodules in the right inferior parotid gland may also represent additional lymph nodes, either reactive or affected by metastatic disease, versus Warthin tumors.3. Partially imaged postoperative findings related to right frontal craniotomy and orbitotomy for resection of a right intracranial and orbital mass with nonspecific diffuse enhancement along the margins of the surgical cavity. Please refer to the prior MRI for additional details.