History of left parotid space rhabdomyosarcoma, off therapy, assess for progression. Brain: This is a motion degraded exam. There is no evidence of intracranial mass. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The cerebellar tonsil remains low lying especially on the left. There is left parieto-occipital plagiocephaly. There is mucosal thickening in the bilateral maxillary sinuses, ethmoid sinuses, left more than the right sphenoid sinus, progressed from prior. There is persistent trace fluid in the bilateral mastoid air cells. The orbits and scalp soft tissues are grossly unremarkable.Neck: There are post surgical findings in the left parotid region, but no evidence of underlying measurable mass lesions. There is a persistently prominent right level 2A lymph node, measuring 18 x 11 mm in axial cross-section. Other smaller cervical lymph nodes are also unchanged. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The airways are patent. The osseous structures are intact.
1. Post-treatment findings in the left parotid gland without discernible recurrent tumor.2. Stable nonspecifically enlarged right level 2A lymph node.3. No evidence of intracranial mass.4. Increased paranasal sinus mucosal inflammation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.