History of left scalp squamous cell carcinoma metastatic to LN s/p CRT (2015), now with left neck recurrence s/p resection and 2 cycles of induction chemotherapy with carboplatin/taxol followed by 5/5 cycles of TFHX completed on 8/5/16. The images are degraded by patient motion and the lack of contrast limits the assessment for tumor. There are postoperative findings related to left neck dissection, with resection of the left submandibular gland and parotidectomy. There appear to be denervation changes in the left vocal cord, sternocleidomastoid, and trapezius. There is also edema in the left pharyngeal and parapharyngeal soft tissues, but no discernible residual significant lymphadenopathy in the neck. The remaining salivary glands appear to be unremarkable. The thyroid gland appears to be unchanged. There is multilevel degenerative cervical spondylosis. There is unchanged encephalomalacia in the right frontal lobe. There are small retention cysts in the right maxillary sinus.
Post-treatment findings in the left neck without discernible residual significant lymphadenopathy in the neck, although assessment is limited by the lack of contrast.