17-year-old female with history of esthesioneuroblastoma status post chemotherapy radiation therapy and resection, evaluate for residual disease Neck: Again seen are post-operative findings related to right medial maxillectomy and right anterior and posterior ethmoidectomy. Previously demonstrated enhancement within the right frontoethmoidal treatment bed is again noted, however has decreased along its inferoposterior border. There is persistent mucosal thickening in the right maxillary sinus, unchanged. There is no new or enlarging mass. No new enhancement or mass involving the orbits. There is leftward nasal septal deviation. There is a subcentimeter Thornwaldt or nasopharyngeal retention cyst which has decreased in size. A previously demonstrated nonspecific 10 mm by 16mm right level 2 lymph node is again noted and is unchanged. Additional small scattered cervical lymph nodes are also nonspecific. No significant cervical lymphadenopathy by size criteria. Evidence of right thyroid lobectomy also noted.Brain: There is no evidence of intracranial extension of tumor. There is an unchanged prominent perivascular space in the right basal ganglia. The brain parenchyma otherwise appears unremarkable and there is no evidence of acute infection or abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.
1.Previously demonstrated enhancement within the right frontoethmoidal treatment bed is again noted, however has decreased along its inferoposterior border.2.No evidence of intracranial tumor.