Left frontal opacification. There are post-surgical findings related to left orbital exenteration, left maxillectomy, left ethmoidectomy, and left rhinectomy. There are secretions in the left anterior ethmoid sinuses and frontoethmoid recess deep to the surgical flap. There is trace mucosal thickening in the left frontal sinus, but no evidence of secretions. The right maxillary, right ethmoid, right frontal, and bilateral sphenoid sinuses are unremarkable. There is patchy presumed enhancement of the soft tissues in the posterior left orbital exenteration cavity. The right orbit is unremarkable. There is extensive irregularity and presumed enhancement of the left maxillary alveolus. The intracranial structures are unremarkable.
1. Postoperative findings in the left face with retained secretions in the left anterior ethmoid sinuses and frontoethmoid recess deep to the surgical flap. 2. Persistent nonspecific patchy presumed enhancement of the soft tissues in the posterior left orbital exenteration cavity, which is incompletely characterized on this exam, but may represent treatment effects or a small amount of tumor. 3. Extensive irregularity and presumed enhancement of the left maxillary alveolus may be related to radiation necrosis. Please refer to the prior CT report for additional details.