A 33x20x29 mm mass metabolic primary involving the medial right orbital cavity centred on the lacrimal gland.
At the inferior border of this lesion along the lacrimal duct, there is linear extension inferiorly with a small separate nodule which involves and seems to invade the medial aspect of the right maxillary sinus
Nodal metastases: There is a small metabolic node within the superficial anterior aspect of the right parotid and several metabolic right level 2 nodes with a combined diameter of 5.21 x 1.75 x 2.32 cm (CC x AP x TR).
Distant metastases: There is a small area of increased metabolic activity on the right and a metabolic medial right upper lobe apical segment lung lesion 2.39 cm in diameter with an appearance consistent with a metastasis (not shown).