Female, 29 years old, with increased trismus and pain to the left parotid region for four months, history of T3 N1 mucoepidermoid carcinoma status post left total parotidectomy. Redemonstrated is evidence of prior left parotidectomy. No masslike lesion is seen in surgical bed. No pathologic adenopathy is detected in the visualized portion of the neck. Scattered lymph nodes are seen in the left neck, some of which demonstrate diffusion restriction, potentially indicating a reactive or inflammatory process. Edema of the left mandibular condyle and surrounding soft tissues is seen with mild superimposed enhancement. The right TMJ is within normal limits. Anatomically anomalous cervical vertebral bodies are redemonstrated with a thoracic scoliosis partially visualized.
1.No findings are seen to suggest tumor recurrence within the left parotidectomy bed or pathologic adenopathy. 2.Evidence of inflammation is seen centered on the left TMJ which may indicate joint degeneration. 