Q. Had removal of myoepithelial carcinoma before three years. Can I have a recurrence of it?

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Please give your queries and concerns on pointwise. So that, I can answer them for you. I will point out the abnormalities present in the scan soon.

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I have gone through the attachment (attachment removed to protect patient identity). The present MRI (magnetic resonance imaging) shows polypoidal mucosal thickening involving the bilateral maxillary sinuses suggesting sinusitis. Left inferior turbinate hypertrophy is noted. Postoperative changes are seen in the anterior nasopharynx (probably post right uncinectomy). There is no mass lesion noted along with the operative bed to suggest recurrent or residual disease. There is no cervical lymphadenopathy and intra-cranial abnormality seen. The orbital structures appear normal bilaterally.

The imaging signs do not show a recurrence. Areas of restricted diffuse indicate solid tumors on MRI, and these lesions show a corresponding signal drop on ADC (apparent diffusion coefficient) maps or images. There is no such area seen along the operative bed in the MRI scan. Acutely ascending dynamic contrast curves indicate malignancy on MRI. However, the plateau or shouldering of the curves favors benign pathology.