Female, 64 years old, with history of nasopharyngeal carcinoma, completed treatment. The mucosa of the pharynx, soft palate, base of tongue and supraglottic larynx is diffusely edematous and mildly enhancing. No discrete masslike lesion is seen in the nasopharynx or elsewhere along the aerodigestive tract. The salivary glands are unremarkable. The subcutaneous tissues of the anterior neck are reticulated likely related to therapy. No pathologic adenopathy is detected in that portion of the neck included within the field-of-view. The previously referenced right paratracheal lymph node is not included on this examination. Marrow signal changes are seen in the cervical spine compatible with prior radiotherapy. The mastoid air cells are opacified bilaterally, a finding which has progressed from prior.
1.Evidence of pharyngeal mucositis is seen likely related to therapy. No findings to suggest locally recurrent tumor are noted.2.No pathologic adenopathy is detected in the visualized neck. A previously referenced right paratracheal node is not included in the field-of-view of this examination.3.Progressive opacification of the mastoid air cells probably represents eustachian tube dysfunction.