report_examples/NPC-report-2.txt

MRI Nasopharynx and Neck.

Axial T1W
Coronal T2W
Axial T2 SPIR
Axial and coronal T1W post contrast

REPORT:

Primary Tumour
There is a nasopharyngeal carcinoma involving predominantly the right side   of the nasopharynx.
There is tumour extension into the right sided preclival muscles and early extension into the right parapharyngeal region. No tumour extension into the nasal cavity or oropharynx.
Early skull base invasion into the right pterygoid process is present and tumour involves the right pterygopalatine fossa and abuts the right foramen lacerum. There are minor mucosal inflammatory changes in the paranasal sinuses.
The cavernous sinus and sections of the cranium included on the scan are unremarkable.
There is a right middle ear and mastoid effusion.

Findings:
The nasal cavity and oropharynx are not involved.
The parapharyngeal regions are unremarkable and there are no middle ear or mastoid effusions.
The skull base is unremarkable.
The cavernous sinus and sections of the cranium included on the scan are unremarkable.

Distant metastases 
No distant metastases or second primary tumours are identified in the head and neck, upper thorax or bones.

CONCLUSION
1. Nasopharyngeal carcinoma with predominant mucosa and submucosa involvement.
2.Enlarged nodes in retropharyngeal, jugulodigastric/upper jugular chain and right middle jugular regions. These are suspicious of nodal metastases.