14yo post QT-RT for Ewing, new cystic lesions

Patient with Ewing sarcoma treated 2 years ago with QT-RT,

Follow-up, asymptomatic

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STIR
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DWI
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ADC

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Subtraction

I am worried about the cystic lesion because they were absent in the exame
pre-treatment from 2 years ago

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Should I worry about those cysts? Can they be a previous met that
necrotized?

I don’t have an interval MRI during these 2 years, already asked to the
patient’s parents.

Here is the tumor before treatment

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Also, on the follow-up

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The bone marrow is very heterogeneous, but there is no soft tissue mass, I
believe most of it is treatment related.

Thank you all!

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