Squamous cell carcinoma of the right nasal bridge and left cheek with perineural invasion. Status post Mohs 9/9/2014 and radiation therapy completed 12/4/2014. Evaluate for recurrence. There are post-treatment changes of the left cheek. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical flow voids are grossly intact. The osseous structures are unremarkable. The imaged intracranial structures are unremarkable. There is interval persistent mucosal thickening and secretions within the paranasal sinuses. There is fluid within the left mastoid air cells and middle ear.
1. No definite evidence of local tumor recurrence, although the assessment is limited by the lack of intravenous contrast.2. Persistent mucosal thickening and secretions within the paranasal sinuses, which may represent sinusitis. 3. Fluid within the left mastoid air cells and middle ear may represent otomastoiditis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.