- Artefact associated with previous surgery in the right parotid gland.
- Intense enhancement around the retromandibular surgical bed extending into infratemporal fossa and masticator space with involvement of the digastric posterior belly. Likely local recurrence.
- Enhancement extending to the stylomastoid foramina and along the right facial nerve mastoid segment.
- There is also increased soft tissue enhancement around V3 below foramen ovale ?definite V3 involvement. V2 is intact.
- More inferiorly centred in the superficial lobe/parotid tale is is a 2.5cm heterogeneously enhancing lesion with central necrosis with evidence of extracapsular extension.
- There is enhancement extending to the carotid space medially.
- There is involvement of the anterior margin of sternocleidomastoid muscle.
- 5mm nodular enhancement posterior to internal auditory canal is seen and also represents tumour.
- There is a right level two 9 mm lymph node immediately medial to the mass.