Bones: Left maxillary sinus lesion involving the hard palate again seen.
Additional comment: Significant edema and enhancement in the superficial soft tissues in the left periorbital and zygomatic region.
1. Rim-enhancing lesion at the opening of the left nasolacrimal duct, favored to represent infected dacryocystocele/dacryocystitis, with adjacent orbital fat stranding and periorbital swelling. Per clinical history, the patient has had recurrent episodes of dacryocystitis at this location.
2. Stable enhancing lesion at the floor of the left maxillary sinus involving the hard palate.
3. Stable enhancing focus within the high right frontal lobe.