Compressible erythematous papule on right nasal root, assess depth and extension, eval for glioma. There is an enhancing nodular lesion in the skin and subcutaneous tissues of the right nasal root region, which measures up to approximately 7 mm. The nasal skeleton and floor of the anterior cranial fossa appear to be intact. There are mild scattered paranasal sinus retention cysts. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The imaged intracranial structures are unremarkable.
A subcentimeter lesion in the right nasal root region is non-specific, but does not appear to have deep extension beyond the skin and subcutaneous tissues. Differential considerations may include a chronically-inflamed and collapsed cyst, hemangioma, or neoplasm. Further evaluation via dedicated high-resolution MRI sequences using a microscopy coil may be useful, if clinically warranted.