I Would Like To Have Ahemotologist Explain This Report To Me And Let Me Know If It Could Be Cancer

Question : I would like to have aHemotologist explain this report to me and let me know if it could be cancer.

Report



CT-SOFT TISSUE NECK POST IV CONTRAST



History: Right-sided neck mass/swelling. Recent ultrasound reportedly demonstrated a

right level IV lymph node measuring 3.2 cm



Technique: The patient was examined and a marker placed over the area of clinical

concern. Following the administration of 85cc of Omnipaque 350 intravenous contrast axial

images were obtained through the neck with sagittal, axial and coronal reformatted images

then generated from the axial acquired data. This study was performed using automatic

exposure control (radiation dose reduction software) to obtain a diagnostic image quality

scan with patient dose as low as reasonably achievable. One or more of the following dose

reduction techniques were used: Automated exposure control, Adjustment of the mA and/or

kV according to patient size or Use of iterative reconstruction technique. The

administered radiation dose was 1.9 mSv.



Renal function: Per ACR guidelines and Zwanger-Pesiri policy, a creatinine level was

performed prior to the examination. Results were as follows: Creatinine = 0.4 mg/dL.



Prior examinations: Ultrasound dated September 7, 2020.



Aerodigestive tract: No primary aerodigestive tract lesion is seen.



Lymph nodes: No pathologically enlarged lymph nodes are seen at the following locations:



-Right level III measuring 2.3 cm in craniocaudad dimension, 9 mm left-right dimension and

5.5 mm anterior-posterior dimension (see axial image #61 of series #7 and sagittal image

#46 of series #4).

-Right level IV lymph node that measures 3.4 cm in craniocaudad dimension, 1.7 cm

anterior-posterior-posterior dimension of 5.8 mm in left-right dimension (see sagittal

image #47 of series #4, axial image #309 of series #6 and coronal image #43 of series #3.



Multiple other lymph nodes are seen in the neck which are all less than 1 cm in diameter.

All lymph nodes are solid without necrosis or extracapsular spread of disease.



Parotid glands: The parotid glands have a normal size and enhancement pattern. No parotid

masses or ductal dilatation is seen. No radiopaque calculi are identified.



Submandibular glands: The submandibular glands have a normal size and enhancement

pattern. No submandibular gland masses or ductal dilatation is seen. No radiopaque calculi

are identified.



Thyroid gland: The thyroid gland is normal in size. There are no thyroid nodules.



Thoracic inlet: Normal.



Lung apices: Normal.



Brain: Limited evaluation of the brain parenchyma does not demonstrate any mass, mass

effect, edema, hemorrhage or infarct.



Orbits: No orbital masses are seen. The globes, extraocular muscles and lacrimal glands

are normal.



Paranasal sinuses: Normally developed and aerated.



Temporal bones: Normal.



Cervical and upper thoracic spine: Normal.



IMPRESSION:



Pathologically enlarged right level III and right level IV lymph nodes. Histologic

sampling is recommended if they need to be further characterized.



No primary aerodigestive tract lesion is seen.



Signed by: XXXXXXX Panasci MD

Signed Date: 10/6/2020 3:21 PM EDT