Head and neck cancer. Head CT:There is a vague area of enhancement in the left temporal lobe (image #11, series 10). This should be evaluated with MRI brain to exclude the possibility of a metastatic disease. No obvious mass is identified.Neck CT:Post-treatment changes with associated soft tissue thickening in the neck are unchanged. There is no evidence of mass, or adenopathy based on size criteria.The limited view of the upper lungs appear unremarkable.Degenerative disease of the cervical spine is again present, with mild neuroforaminal narrowing at C3 -- C4 and C4 -- C5 levels.
1. Vague enhancement in the left temporal lobe may be vascular in etiology. However, further evaluation with MRI brain without and with contrast is recommended to exclude the small possibility of a metastatic focus. 2. No evidence of recurrence or adenopathy in the neck.