17-year-old female with history of esthesioneuroblastoma, status post chemoradiotherapy and resection. Neck: Post-operative findings related to right medial maxillectomy with right anterior and posterior ethmoidectomy are again seen. Previously demonstrated enhancement within the right frontoethmoidal treatment bed is again noted. There is moderate benign mucosal thickening in the right greater than left maxillary sinuses. There is no new or enlarging mass. No new enhancement or mass involving the orbits. There is mild leftward nasal septal deviation. A subcentimeter Thornwaldt or nasopharyngeal retention cyst has further decreased in size. A previously demonstrated nonspecific 9 x 16mm right level II lymph node is again noted and not significantly changed. Additional small scattered cervical lymph nodes are also nonspecific. No significant cervical lymphadenopathy by size criteria. Evidence of right thyroid lobectomy also noted.A small focus of nonspecific hyperintense T2 signal and enhancement is noted in the left cheek (series 26 image 13), which extends to the skin surface.Brain: There is no evidence of intracranial extension of tumor. There is an unchanged prominent perivascular space in the right basal ganglia. The brain parenchyma otherwise appears unremarkable. No abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.
1.Previously demonstrated enhancement within the right frontoethmoidal treatment bed is again noted. No evidence of recurrent disease.2.No evidence of intracranial tumor.3.No pathologic cervical lymphadenopathy.4.Focus of hyperintense T2 signal and enhancement in the left cheek extending to the skin surface likely relates to a benign dermatological process.