50 year-old female with recurrent large B-cell lymphoma status post extubation today. Platelets = 25. Now, with asymmetric pupils left greater than right with left poorly reactive to light. There is no evidence of intracranial hemorrhage, mass or edema. Bilateral lacrimal gland enlargement. Overall the right lacrimal gland is stable however, the left is larger when compared to the prior study.On review of the prior study, significant prominence and enhancement of the cavernous sinus was noted. MRI is recommended to rule-out tumor involvement at that location, if clinically warranted.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized mastoid air cells are normally pneumatized. Fluid thickening within the sphenoid and left maxillary sinus consistent with sinus disease. Retention cyst/polyp seen within the left maxillary sinus.
1. Stable, right lacrimal gland enlargement with new interval enlargement of the left lacrimal gland.2. Enhancement and prominence of the cavernous sinus noted on prior study of 12/5/07. MRI is recommended to rule out tumor involvement at this location, if clinically warranted.