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Extensive predominantly left sided nasopharyngeal mass invades the left infra-temporal masticator space.
Invasion of the clivus and the anterior margin of the foramen magnum is associated with abnormal dural enhancement.
Extension along the left V3 nerve through foramen ovale to Meckel's
Enhancing tumour surrounds the left internal carotid artery at the skull base and areas thickening of the left cavernous
Likely extension anteriorly along the left V1 and V2 into the left orbit.
No perineural spread on the right.
- 2x left level 2a lymph nodes are likely mets (14x9, 13x10mm). The more posterior of these possibly has central necrosis and extracapsular invasion.
- A right level 2a node is rounded and suspicious for metastasis.