Nasopharyngeal carcinoma, status post treatment. Neck: There is no gross residual left nasopharyngeal mass. There is no evidence of intracranial extension or skull base erosion. There are secretions in the right lateral nasopharyngeal recess. There is no residual cervical lymphadenopathy. For example, a right level 2B lymph node measures 5 x 10 mm in axial section. The salivary glands are unremarkable. There is fluid within the bilateral mastoid air cells. The orbits are unremarkable. The cervical spine is intact. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening in the maxillary sinuses.
1. No gross residual left nasopharyngeal tumor or significant cervical lymphadenopathy.2. No evidence of intracranial metastases.