Recurrent papillary thyroid carcinoma status post multiple recent biopsies. There are postoperative findings related to thyroidectomy and neck dissection. There is a persistent ill-defined soft tissues in the right tracheoesophageal groove region, albeit less conspicuous than previously. The mass infiltrates the party wall and mildly narrows the tracheal lumen. There is otherwise no evidence of other mass lesions of cervical lymphadenopathy. The salivary glands appear unchanged. There are scattered patchy cerebral white matter T2 hyperintense lesions, which may represent chronic small vessel ischemic disease. The osseous structures are unchanged. There is fluid in the bilateral maxillary sinuses and left sphenoid sinus. There are bilateral lens implants.
1. Postoperative findings related to thyroidectomy, with persistent ill-defined soft tissues in the right tracheoesophageal groove region, albeit less conspicuous than previously, likely related to residual tumor and treatment effects.2. Findings suggestive of acute sinusitis.