Male, 41 years old, with history of squamous cell carcinoma of the sinonasal region, now with pain at the nasal ridge. Extensive surgical findings are again seen compatible with left orbital exenteration, along with left maxillary and ethmoid resection, resection of the left nasal cavity structures, and partial left rhinectomy.Soft tissue within the left orbital resection bed is stable and demonstrates a pattern of enhancement and signal most compatible with a soft tissue flap construct.No definite evidence of any tumor-like process is seen within or adjacent to the surgical bed. In particular, no new lesions are evident along the nasal ridge.The left frontal sinus and frontoethmoidal recess contain trapped fluid similar to prior exams. The left sphenoid sinus is opacified with mild rim mucosal thickening, new from the prior MRI but similar to the recent prior CT.
1.Redemonstration of extensive postoperative findings compatible with left orbital exenteration and left sinonasal resection. No evidence of recurrent tumor is seen within the resection bed or along the nasal ridge.2.Stable fluid entrapment within the left frontal sinus and frontoethmoidal recess. Mucosal inflammation and secretions within the left sphenoid sinus are new from prior MRI but similar to recent prior CT.