Re-evaluate disease status following completion of immunotherapy: Stage IV melanoma. The right sinonasal mass has further decreased in size, measuring up to 2 mm in thickness, previously 4 mm, and displays less enhancement. There is minimal scattered paranasal sinus mucosal thickening. The lesion in the left lateral rectus muscle is also no longer discernible. The right orbit is unremarkable. There is no significant lymphadenopathy in the upper neck. The major salivary glands are unremarkable. The imaged portions of the brain parenchyma and pituitary gland appear unremarkable.
1. The right sinonasal metastasis has further decreased in size2. No measurable residual left lateral rectus muscle metastasis.