50 year-old male with history of angiosarcoma diagnosed 12 -- 07 of the face. Status post neck/head radiation and chemotherapy. Please evaluate. Images through the skull base and including cavernous sinuses remain within normal limits. Paranasal sinuses demonstrate a small retention cyst within the dependent portion of left maxillary sinus and otherwise are unremarkable.Minimal soft tissue thickening at the level of the nasal bridge on the left which appears to extend to the eye lid and over the right zygoma Is again identified. In comparison with the prior examination there is evidence of reduction in the volume of this area of increased soft tissue density. After discussion of the findings with the referring physician, Dr.Undevia it is believed to identified findings are likely post therapy changes and less likely residual tumor. Further follow-up exams is recommended. This area can be better evaluated with an MRI exam.No definitive evidence of any additional area of abnormal soft tissue to suggest angiosarcoma is detected. Extensive bilateral calcifications within the pinna remains a stable. These findings are not believed to be angiosarcoma.No evidence of any bony changes with above-described findings. The right globe, retro-orbital fat and extraocular musculature as well as right lacrimal gland remains within normal limits.No evidence of pathologic adenopathy in the neck.CT of brain with infusion.This examination is essentially within normal limits for patient's stated age of 49. No hemorrhage, edema, mass-effect, midline shift or hydrocephalus is detected. No abnormal enhancement the brain parenchyma or leptomeninges. Calvarium remains intact.
1.Negative CT of brain with infusion.2.Slight interval reduction in the size of the edematous soft tissue thickening of the right face as detailed above.