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.