74 years Male (DOB:11/21/1941)Reason: history of left cutaneous SCC, now with left neck recurrence s/p resection History: left neck recurrence, postopPROVIDER/ATTENDING NAME: DANIEL HARAF DANIEL HARAF Since the prior exam the left neck mass just behind the left carotid space and lateral to it at the level of the thyroid cartilage previously measuring 56 x 39 mm axial dimensions now measures 41 x 28 mm axial dimensions. On coronal imaging this mass previously measured 46 x 47 mm coronal dimensions and currently measures 37 x 39 mm coronal dimensions. There is associated adenopathy in the left posterior triangle on the left posterior triangle lymph node currently measures 20 x 14 mm axial dimensions and previously measured 7 mm axial dimensions. Another enlarged and nodule is present lateral to the above described mass which measures 22 x 16 mm axial dimensions.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Patient is status post left neck surgery with neck dissection and removal of the left submandibular gland and left parotid gland.Within the visceral space the thyroid gland appears intact.The airway appears patent.Encephalomalacia present along the right frontal lobe which is incompletely assessed on this exam.The visualized portions of the orbits and paranasal sinuses are intact. The paranasal sinuses demonstrate some mucous retention cysts in the right maxillary sinus. The mastoid air cells are clear.The right parotid and the right submandibular glands appear intact.The visualized lung apices appear clear.The carotid and vertebral vasculature visualized on this exam appears intact. The left jugular vein is not presentThe cervical vertebral bodies in general are intact with no evidence for canal stenosis.
1.Since prior examination a left neck mass has decreased in size.2.There is new left posterior triangle neck lymphadenopathy present relative to the prior exam3.Status post left radical neck dissection and removal of the left sided salivary glands.4.Encephalomalacia along the right frontal lobe is incompletely imaged on this exam.