Question: Went to doctor and was told I had a Thyroid cyst on my left lobe. confirmed by ct scan and fine needle biopsy in September 2018. The cyst was drained on XXXXXXX 25th 2019. Throat got tight after eating lunch on July 12th. Tightness was worse on July 12th but improve a little the next day. Visited ENT and was told it could be reflux due to having chest pain. I have noticed a little improvement after taking PPI pills. Sometimes if i dry swallow I get a little pain on the right side of my neck above my collar bone and it will go to my underarm sometimes. I havent choked on food or liquid but my throat grt unformtable and pressure when I swallow. Also have noticed the top of my mouth snd tongue have a weird sensation sometimes. This sensation started 5 days after taking the PPI pills.

Hello,

Yes I had bloodwork done. Below is from the report.

All CT scans performed at this location utilize dose optimization techniques as appropriate to the performed exam.
XXXXXXX XXXXXXX THOR

CT SOFT TISSUE NECK WITH IV CONTRAST 07/15/2019:

CT CHEST WITH IV CONTRAST 07/15/2019:

HISTORY: History of left lower neck cystic mass which has been drained.

CORRELATION: Thyroid ultrasound 09/06/2018.

CT SOFT TISSUE NECK:

The thyroid gland is not enlarged and there is a solitary triangular shaped nodule of water density in the left hemithyroid which is slightly extending substernally. Today it measures 2.3 x 2.1 x 2.5 cm. On the prior ultrasound it was measured at 5.7 x 5.0 x 4.7 cm. There is no compromise of the airway and there is no adjacent cervical or supraclavicular lymphadenopathy.

The salivary glands are normal. There is no mass in the nasopharynx or oropharynx or hypopharyngeal or laryngeal lesions. The brain to the level of the centrum semiovale and both orbits are normal in appearance.

CT CHEST:

There is no mediastinal or hilar or axillary or supraclavicular lymphadenopathy. The aorta is normal. There is no endobronchial mass and the lungs are completely clear. There is no suspicious pulmonary nodule and there is no pleural or pericardial effusion. There is no mass in the expected position of the recurrent laryngeal nerves bilaterally.

IMPRESSION:

Decrease in size of left thyroid cyst since aspiration.


Job # 0000
Dictated by: Dr. XXXXXXX Ng
Dictation Date: 07/15/2019
Dictation time: 09:34 Hours CST
Transcription Date/Time: 7/15/2019 11:00 PM cls                    07/15/2019 10:01AM     07/15/2019     07/15/2019      Chart
Plus PTHIntact,Ca[PTHIntact,Ca][PTH-Intact Calcium][PTH-Intact][T...          9.5     mg/dL^mg/dL               07/03/2019 12:55PM     07/03/2019     07/03/2019      Chart
Plus LOM[LOM][Lab Order Message]          Name of test: PTH, INTACT,FNA
Test sent to: Test performed by Quest Diagnostics Lab
Specimen sent 07/03/2019. Results received 7/8/2019 8:51:58 AM CDT.
To view report: See Reference Lab Scanned section of This Admission Hierarchy in Powerchart.
Please allow up to 24 hours of receiving the result for the scanned report to appear.                    07/03/2019 12:55PM     07/08/2019     07/08/2019      Chart
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