Male, 57 years old, with history of recurrent nasopharyngeal carcinoma and oral cavity squamous of carcinoma status post treatment. Diffuse edema involving the pharynx, tonsillar pillars and the supraglottic larynx has increased mildly from the prior examination, likely a treatment related effect. No discrete tumor-like lesions or areas of pathologic focal enhancement are detected. A previously referenced left level II lymph node now measures only 4 mm in short axis dimension (image 29 series 1201), previously 6 mm. No new or growing pathologic adenopathy is detected in the neck. The visualized salivary glands are unremarkable. Marrow signal characteristics are within normal limits. A subcentimeter mucus retention cyst in the right maxillary sinus is unchanged.
Treatment related findings with no evidence to suggest recurrent primary tumor or pathologic adenopathy.