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| History | |
| NPC for screening MRI | |
| MRI Nasopharynx and Neck. | |
| A full staging scan was performed in view of preliminary findings | |
| Axial T1W | |
| Coronal T2W | |
| Axial T2 SPIR | |
| Axial and coronal T1W post contrast | |
| Axial T1W FS post contrast | |
| REPORT: | |
| Primary Tumour | |
| There is a small primary nasopharyngeal carcinoma involving all walls, but predominantly the right side, of the nasopharynx. | |
| The nasal cavity, oropharynx and parapharyngeal regions are unremarkable. There are small bilateral otomastoid effusions. | |
| The skull base is unremarkable, except for a very small area of abnormal signal in the superior aspect of the clivus which is of uncertain significance. The paranasal sinuses are unremarkable. | |
| The cavernous sinus and sections of the cranium included on the scan are unremarkable. | |
| Nodal Metastases | |
| There are a few metastatic right retropharyngeal nodes measuring up to 8mm in diameter as well as a couple of smaller left retropharyngeal nodes that are non specific. Shotty small nodes are seen in the remainder of the neck, which are not suspicious by MRI criteria. | |