Reason: cutaneous SCC of L cheek with PNI s/p radiation History: surveillance Again seen are post-treatment changes in the left cheek including thinning and reticulation of the subcutaneous fat. No discrete mass is evident. There is also no significant cervical lymphadenopathy.Again seen is asymmetric increased T2 signal diffusely within the left parotid gland, which is consistent with posttreatment change. Remainder of the salivary glands and thyroid gland are grossly unremarkable. The major cervical flow voids are grossly intact. There are mild multilevel degenerative changes in the cervical spine without suspicious osseous lesions. The partially imaged orbits and brain parenchyma are grossly unremarkable. There is mild left maxillary sinus mucosal thickening similar to prior. There is persistent fluid within the left mastoid air cells and middle ear.
1. No evidence of local tumor recurrence within the limits of noncontrast study.2. No significant cervical lymphadenopathy.3. Persistent fluid in the left middle ear cavity and mastoid air cells which may reflect posttreatment-related otomastoiditis.