s/p left schwannoma of cranial nerve XI, s/p resection 2012, eval for recurrence, surveillance The patient is status post removal of a left neck mass previously extending from the left jugular foramen inferiorly. There is no evidence for local recurrence. The left jugular vein is not readily identified at the level of the tumor site. The lower half of the left jugular vein is identified.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. There are number of lymph nodes scattered in the soft tissues of the neck which measure up to 9 mm in diameter. These do not meet the size criteria for lymphadenopathyWithin the visceral space the thyroid gland appears intact.The airway appears patent.The visualized intracranial structures which include the posterior fossa are intact. The visualized portions of the orbits and paranasal sinuses are intact. The paranasal sinuses demonstrate an opacity in the left maxillary sinus which was also present on the prior exam and likely represents a mucous retention cyst. The mastoid air cells are clear.The parotid and the submandibular glands appear intact.The visualized lung apices appear clear.The carotid and vertebral vasculature visualized on this exam appears intact.The cervical vertebral bodies in general are intact with no evidence for canal stenosis.
1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.