Female, 55 years old, with history of basal cell of the nose status post resection and reconstruction, now with mass concerning for recurrence. Mild anatomic distortion is seen along the left nasal ala and nasolabial fold. This is compatible with the history of prior surgery and reconstruction. Signal intensity is seen compatible with small lobules of fatty material and scarring at this location. The appearance is very similar to that seen on the prior MRI examinations. No evidence of nodular STIR hyperintensity or diffusion restricted tissue is seen at the operative site.Mild cutaneous deformity is evident within the scalp of the left forehead, also unchanged. On limited views of the neck, no pathologic adenopathy is detected. Limited intracranial views are significant for perhaps a small chronic lacunar ischemic lesion in the left caudate nucleus. Mild cervical spondylosis is demonstrated without high-grade canal stenosis.
Findings are demonstrated compatible with the history of tumor resection and reconstruction of the left nose. Even without the benefit of IV contrast, the operative site shows no significant interval change, and there are no concerning findings which would suggest recurrent tumor. If postcontrast imaging is deemed necessary for clinical management, this could be performed provided that arrangements are made in advance for anesthesiology monitoring.