Hodgins Lymphoma s/p ABVD x 1cycle - persistent dysphagia / nausea / vomiting - vocal cord paralysis/ right facial weakness. Furthermore, there is apparent increase in size of portions of the right skull base tumor with enlargement of the portions in the right cerebellomedullary angle cistern, and new extension of tumor into the right Meckel cave. Otherwise, the soft tissue components in the right prevertebral and paravertebral spaces, with extension in the right middle ear, jugular foramen, hypoglossal canal, and foramen lacerum, and portions of the facial nerve path, including the greater superficial petrosal nerve and in the region of the stylomastoid foramen, have not significantly changed. There is persistent fluid within the right middle ear and mastoid air cells with extensive mucosal thickening. There is persistent diffuse enhancement of the bone marrow in the right lateral and central skull base, with mild overlying dural enhancement diffusely, including within the right internal auditory canal. There is protrusion of the bilateral optic nerve discs and prominence of the optic nerve sheaths.
Apparent increase in size of portions of the right skull base tumor with enlargement of the portions in the right cerebellomedullary angle cistern, and new extension of tumor into the right Meckel cave. Otherwise, the soft tissue components in the right prevertebral and paravertebral spaces, with extension in the right jugular foramen, hypoglossal canal, and foramen lacerum, and portions of the facial nerve segments, have not significantly changed. Persistent right tympanomastoid opacification, which may be related to Eustachian tube obstruction and/or otomastoiditis. Protrusion of the bilateral optic nerve discs and prominence of the optic nerve sheaths may indicate elevated cerebrospinal fluid pressure. 