Recurrent thyroid cancer status post re-excision and radiation therapy. There are interval post-treatment findings for locoregional recurrent left thyroid cancer superimposed upon prior thyroidectomy and neck dissection with diffuse edema in the left visceral space soft tissues, although a small amount of residual tumor is not excluded. There is no evidence of cervical lymphadenopathy. The salivary glands appear unchanged. There are scattered patchy cerebral white matter T2 hyperintense lesions, which may represent chronic small vessel ischemic disease. The osseous structures are unchanged. There is fluid in the bilateral maxillary sinuses. There are bilateral lens implants.
1. Interval post-treatment findings for locoregional recurrent left thyroid cancer superimposed upon prior thyroidectomy and neck dissection with diffuse edema in the left visceral space soft tissues, although a small amount of residual tumor is not excluded.2. Findings suggestive of acute sinusitis.