Metastatic melanoma. Neck CT:Again seen is soft tissue mass in the right nasopharynx which measures 24 mm in largest dimension on coronal images (series 80564, image 54) compared to prior measurement of 19 mm on prior study (series 80324, image 46). On axial plane, it measures 19 x 17 mm (series 6, image 34) compared to prior measurement of 17 x 13 mm (series 4, image 18). There is no lymphadenopathy of pathological size.As seen before there is a left sided 6 -mm nodule in the left dorsal subcutaneous fat at level of C3 showing no significant interval change in size or appearance.There are enhancing lesions in the right cerebral hemisphere. These lesions were also present on prior MRI brain of 2/23/2011.There are degenerative changes in the cervical spine. No definite bone metastasis is identified in the cervical spine.
1. Slight increased size of right nasopharynx soft tissue lesion.2. Brain lesions partially visualized. Please refer to dedicated brain study.