Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
I Would Like To Have AHemotologist Explain This Report To
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
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
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
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
Brief Answer:
Suspicion for cancer is there
Detailed Answer:
Hi
Thanks for your query.
This CT report corroborates the size of level IV lymph node on rt side which is 3.4 cm. This is definitely significant. In addition, another rt level III LN is there of size 2.3 cm.
So it's not possible to label these as benign without doing a biopsy.
I would strongly recommend doing a biopsy to confirm the diagnosis. Just on the basis of CT report we won't be able to confirm or refute a diagnosis of cancer.
Hope this helps.
Regards
Suspicion for cancer is there
Detailed Answer:
Hi
Thanks for your query.
This CT report corroborates the size of level IV lymph node on rt side which is 3.4 cm. This is definitely significant. In addition, another rt level III LN is there of size 2.3 cm.
So it's not possible to label these as benign without doing a biopsy.
I would strongly recommend doing a biopsy to confirm the diagnosis. Just on the basis of CT report we won't be able to confirm or refute a diagnosis of cancer.
Hope this helps.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Suspicion for cancer is there
Detailed Answer:
Hi
Thanks for your query.
This CT report corroborates the size of level IV lymph node on rt side which is 3.4 cm. This is definitely significant. In addition, another rt level III LN is there of size 2.3 cm.
So it's not possible to label these as benign without doing a biopsy.
I would strongly recommend doing a biopsy to confirm the diagnosis. Just on the basis of CT report we won't be able to confirm or refute a diagnosis of cancer.
Hope this helps.
Regards
Suspicion for cancer is there
Detailed Answer:
Hi
Thanks for your query.
This CT report corroborates the size of level IV lymph node on rt side which is 3.4 cm. This is definitely significant. In addition, another rt level III LN is there of size 2.3 cm.
So it's not possible to label these as benign without doing a biopsy.
I would strongly recommend doing a biopsy to confirm the diagnosis. Just on the basis of CT report we won't be able to confirm or refute a diagnosis of cancer.
Hope this helps.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have an appointment for a biopsy next week. What I don't understand is why the radiologist who read the Scan didn't state the characteristics of the lymph nodes besides the sizes. My friend had a slightly bigger lymph node than mine and there was more abnormal characteristics besides size stated. For example, it stated the shape of the node. I spoke to the radiologist who read my scan and he said there is no evidence of head or neck cancer and he doesn't think he sees evidence of lymphoma. Also I had blood work done from a hemotologist for other reasons and everything came back normal. I also have a necrotic tooth on the same side as the lymph nodes if that makes a difference. And i had a thyroid ultrasound 5 years ago that found no enlarged lymph nodes in my neck. Where you able to see the blood test I uploaded yesterday? Also I feel perfectly fine. I don't have any of the symptoms of lymphoma and my CBC blood test came back normal. In all your years of experience what are my chances that this is not cancer?
I have an appointment for a biopsy next week. What I don't understand is why the radiologist who read the Scan didn't state the characteristics of the lymph nodes besides the sizes. My friend had a slightly bigger lymph node than mine and there was more abnormal characteristics besides size stated. For example, it stated the shape of the node. I spoke to the radiologist who read my scan and he said there is no evidence of head or neck cancer and he doesn't think he sees evidence of lymphoma. Also I had blood work done from a hemotologist for other reasons and everything came back normal. I also have a necrotic tooth on the same side as the lymph nodes if that makes a difference. And i had a thyroid ultrasound 5 years ago that found no enlarged lymph nodes in my neck. Where you able to see the blood test I uploaded yesterday? Also I feel perfectly fine. I don't have any of the symptoms of lymphoma and my CBC blood test came back normal. In all your years of experience what are my chances that this is not cancer?
Brief Answer:
Some characteristics are mentioned
Detailed Answer:
He mentioned that these are non necrotic nodes and no evidence of spread outside capsule.
Non necrotic nodes are seen in lymphoma or benign disease rather than head and neck cancer. Blood report is negative for any mutation but lymphoma won't show any mutation in blood either.
Sometimes lymphoma, especially low grade doesn't have any symptoms. So we need to a biopsy, as rightly planned. I would say that possibility of lymphoma is there but low. Still needs to be ruled out.
regards
Some characteristics are mentioned
Detailed Answer:
He mentioned that these are non necrotic nodes and no evidence of spread outside capsule.
Non necrotic nodes are seen in lymphoma or benign disease rather than head and neck cancer. Blood report is negative for any mutation but lymphoma won't show any mutation in blood either.
Sometimes lymphoma, especially low grade doesn't have any symptoms. So we need to a biopsy, as rightly planned. I would say that possibility of lymphoma is there but low. Still needs to be ruled out.
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Some characteristics are mentioned
Detailed Answer:
He mentioned that these are non necrotic nodes and no evidence of spread outside capsule.
Non necrotic nodes are seen in lymphoma or benign disease rather than head and neck cancer. Blood report is negative for any mutation but lymphoma won't show any mutation in blood either.
Sometimes lymphoma, especially low grade doesn't have any symptoms. So we need to a biopsy, as rightly planned. I would say that possibility of lymphoma is there but low. Still needs to be ruled out.
regards
Some characteristics are mentioned
Detailed Answer:
He mentioned that these are non necrotic nodes and no evidence of spread outside capsule.
Non necrotic nodes are seen in lymphoma or benign disease rather than head and neck cancer. Blood report is negative for any mutation but lymphoma won't show any mutation in blood either.
Sometimes lymphoma, especially low grade doesn't have any symptoms. So we need to a biopsy, as rightly planned. I would say that possibility of lymphoma is there but low. Still needs to be ruled out.
regards
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
