This middle aged female patient was diagnosed with nasopharyngeal carcinoma (NPC) by endoscopic biopsy and referred for MRI evaluation.

MRI is essential for detection of early NPC, staging of the primary tumor, and evaluation of associated cervical lymphadenopathy. It is also used to monitor patients after therapy, assess tumor recurrence and radiation associated changes in the soft tissue and bone, and differentiate NPC from other similar lesions.