Chronic lymphocytic leukemia. Immunocompromised. Question fungal sinusitis.. There is mucosal thickening in the left maxillary sinus and T1 hyperintense secretions, There is no edema or infiltration into the adjacent soft tissues, including the orbit and pterygopalatine fossa. The other paranasal sinuses are unremarkable. There is lobular T2 hyperintensity within the bilateral olfactory recesses. There is a well-defined T2 hyperintense lesion in the right side of the clivus that measures up to 22 mm with minimal peripheral contrast enhancement medially. Mild sigmoid-shaped deviation of the nasal septum is present. As discussed previously, there is an incomplete posterior arch of C1, which is a normal variant. There is unchanged anterior wedging of C6. The imaged portions of the brain are grossly unremarkable. Enlarged lymph nodes are present in the bilateral neck and parotid glands.
1.Mucosal thickening and nonspecific secretions in the left maxillary sinus without specific findings to suggest an invasive fungal sinusitis. 2. Mucosal thickening in the bilateral olfactory recesses may represent nasal polyposis.3. Unchanged nonspecific lesion in the right basiclivus. 4. Partially imaged enlarged upper cervicofacial lymph nodes likely related to leukemia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.