13-year-old male with history of juvenile angiofibroma status post surgery. Evaluate for recurrence. BRAIN: There is no evidence of intracranial hemorrhage, mass or edema. There is no abnormal postcontrast enhancement. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses demonstrate postsurgical changes of the nasopharynx without definitive soft tissue enhancement to suggest tumor recurrence. The left maxillary sinus is near completely opacified which is likely postinflammatory however residual/recurrent tumor cannot be definitively identified and follow a MRI is recommended for further characterization.The surgical cavity and right masticator space gastric postsurgical changes without evidence of abnormal enhancement.The remainder of the soft tissues of the neck are normal in appearance. The oropharynx demonstrates bilaterally enlarged tonsils which are touching however not entirely occluding the airway.
1. Normal brain CT.2. No postcontrast enhancement to suggest residual or recurrent tumor however left maxillary sinus opacification cannot definitively identify tumor recurrence. A follow-up MRI is recommended for further characterization.