EXAM. DATE: 07/08/2021 Computed Tomography Report CT Neck with & without contrast
TECHNIQUE Serial axial scans were performed from the base of the skull to the lung apices with and without intravenous contrast injection using a 256 slice MDCT.
CLINICAL HISTORY Left neck swelling during straining and in prone position.
FINDINGS Nasopharynx has a smooth outline. No focal mass lesion is noted. No abnormal obliteration of the para-pharyngeal fossa of both sides can be seen.
The epiglottis appears unremarkable. No abnormal thickening is noted. No abnormal obliteration of the pyriform sinus on either side can be seen. No abvious mass lesion around the vocal cord is noted.
The hypopharynx and the upper oesophagus has normal configuration. No abnormal wall thickening or mass lesion is noted.
The submandibular and parotid glands on both sides appear normal in configuration. No focal mass lesion is noted. No abnormal density to suggest stone formation is noted.
Prominent lymph nodes are seen in bilateral upper cervical region. The large one in the left side measures 1.05cm. These can be reactive in nature. No abnormally enlarged lymph nodes in bilateral cervical regions are seen.
A marker is places in the left side neck, corresponds to the site of palpable mass clinically. Underneath the marker, no abnormal mass or fluid collection is seen.
No focal bony destruction can be seen.
COMMENTS - A marker is placed in the left side neck, corresponds to the site of palpable mass clinically. Underneath the marker, no abnormal mass or fluid collection is seen. Target ultrasound is also done. Under ultrasound and at prone position, the clinically palpable mass probably corresponds to a distended vein in the superficial tissue of the neck, which is probably the left anterior jugular vein. No other mass in the anterior aspect of the neck is seen. Follow-up imaging will be helpful if clinically indicated. -Prominent lymph nodes are seen in bilateral upper cervical region. These can be reactive in nature. - No abnormal mass or fluid collection in the neck can be seen.
Date Request: 16/07/2021 RADIOLOGY REPORT ULTRASONOGRAPHY OF NECK
FINDINGS The isthmus and both lobes of the thyroid gland are normal in size, outline and echotexture. The right and left lobes of the thyroid gland measure 1.92 x 1.44 x 4.97cm (TS x AP x CC) and 2.11 x 1.26 x 4.61cm (TS x AP x CC) respectively. There is no retrosternal extension of the thyroid gland. A 0.21cm colloid cyst is noted at left thyroid lobe lower pole.
Both parotid and submandibular glands are normal in size, outline and homogenous in parenchymal echogenicity. No focal submandibular or parotid mass is seen.
There is no enlarged or abnormal-looking cervical lymph node in bilateral neck.
COMMENTS - Colloid cyst at left thyroid lobe lower pole. - No other focal lesion is detected.
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