Female, 83 years old, with right mandibular mass, follow-up after sclerotherapy x2 to the right mandibular mass. A heterogeneously T2 hyperintense, T1 hypointense, mildly expansile lesion is redemonstrated involving a majority of the right mandible. The overall size of the lesion is unchanged from the prior study, though that portion of the lesion which broke through the anterior gingival cortex of the mandible seems to be smaller. The lesion continues to enhance in a manner similar to prior.No new deep spaces mucosal lesions are seen. No pathologic adenopathy is detected. Multiple small thyroid nodules are redemonstrated on the right. Multilevel cervical spondylosis is seen without pathologic marrow replacement. Incidental note is made of patchy white matter and brainstem T2 hyperintensity compatible with microvascular ischemic disease. A focus of susceptibility is also seen in the right inferior frontal lobe suggesting a remote hemorrhagic injury.
1.No significant overall change is seen in the size of the right mandibular hemangioma.2.Signal characteristics and pattern of enhancement are similar to prior as well.3.No new lesions are detected.