Left nasal hyalinizing clear cell carcinoma treated with left partial rhinectomy (re-resection after recurrence after previous surgery and XRT) and left neck dissection on 7/28/2016 and delayed reconstruction. There are postoperative findings related to left partial rhinectomy and flap reconstruction. There is a small amount of amorphous enhancing soft tissue along the posterior aspect of the surgical bed, projecting into the nasal vestibule, but otherwise no evidence of measurable tumor. There is mild swelling and enhancement in the right glabellar region skin donor site. There is a peripherally enhancing fluid signal lesion in the left nasoalveolar recess that measures 5 mm in diameter. There is minimal diffuse mucosal thickening in the bilateral ethmoid sinuses anteriorly, but the rest of the paranasal sinuses and nasal cavity are unremarkable. There is no evidence of upper cervical lymphadenopathy. The parotid glands and orbits are unremarkable. There are scattered nonspecific cerebral white matter T2 hyperintense lesions bilaterally, which may represent chronic small vessel ischemic disease.
1. Postoperative findings related to left partial rhinectomy and flap reconstruction, with a small amount of amorphous enhancing soft tissue along the posterior aspect of the surgical bed, projecting into the nasal vestibule, which may represent mucosal inflammation or granulation tissue, but otherwise no evidence of measurable tumor. 2. Small left nasoalveolar cyst or postoperative fluid collection.