Loading Stack -
0 images remaining
MR images reveal large relatively homogeneous soft tissue mass lesion involving and occluding right nasal cavity and ethmoid air cells with right nasal turbinates being not delineated. Extension noted into right maxillary, frontal and sphenoid sinuses which also show retained secretions. Extensions also noted into nasopharynx and right pterygopalatine fossa with infiltration into right masticator space (more in pterygoid muscles) and right half of soft and hard palates. Extension is also noted into postero-inferior part of right orbit with involvement of inferior rectus muscle.This appears intermediate signal on T1WI and hyperintense on T2WI/STIR. Moderate enhancement is noted following contrast administration.
MR images also show large homogeneous right submandibular lymph node/mass showing moderate homogeneous enhancement. Also noted few discrete prominent right posterior triangle lymph nodes.