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Large left nasopharyngeal mass measuring 6.6 x 3.8 cm in bulk dimensions The mass extends into the left parapharyngeal space and inferiorly to the level of the base of the tongue. The mass extends into the left posterior nare as well as the left pterygomaxillary fissure.

Altered signal in the left masticator space with signal change in the medial pterygoid muscle and abnormal enhancement in the masticator space.

Fluid in the left mastoid air cells.

1.9 cm right retropharyngeal node.

Bilateral cervical adenopathy.  Matted nodes along the left cervical chain (levels II, III and 1b) with bulk dimensions of 9.8 x 6.7 cm. The largest on the right is 2.3 cm at level II.

Bilateral supraclavicular nodes, the largest on the left 3.1 cm and on the right a solitary 1.3 cm node. 

Several left intraparotid lymph nodes, the largest 4.2 cm.

Fluid in the left carotid canal.  No intracranial extension.