Can someone tell me if this looks ok? He said he wants to send me to an ENT to check on the submandibular though , RESULTS BELOW
1. No abnormality seen in the right side of the neck at the site of the patient's clinical concern.
2. There is a 14 x 9 x 8 mm enhancing structure in the midline the submandibular space possibly representing a slightly large submandibular lymph node. A small venous malformation or hemangioma would be another consideration. Correlation with physical
exam findings suggested.
Narrative
COMPARISON: Ultrasound examination April 27, 2017
CLINICAL INDICATION: Right neck mass. Patient reports neck jaw and sometimes head pain. Tiny not behind right ear
TECHNIQUE: Multiplanar, multisequence MRI of the soft tissues of the neck was performed from above the orbits and posterior fossa to the level of the aortic arch. The study is performed before and after administration of 10 mL of GADOBUTROL 1 MMOL/ML IV
SOLN intravenous contrast. .
A vitamin E capsule was placed in the area of clinical concern. There is no mass identified at this site. A normal-appearing right sternocleidomastoid muscle is visualized. The parotid gland appears normal. A few tiny (normal-sized lymph nodes are seen
within the right parotid gland. There is no dilatation of the intraglandular branches of the right parotid ductal system. Stensen's duct does not appear dilated.
A few normal-sized lymph nodes are noted in the right spinal accessory lymph node chain (level V) there is no mass in this location.
The visualized portions of the brain are normal. The posterior fossa structures appear normal. The nasopharynx, oropharynx, hypopharynx, and larynx appear normal.
A small nodule is seen in the midline of the submandibular space. This measures about 14 x 9 x 8 mm. This could represent a slightly large lymph node. Correlation with physical exam findings is suggested.
The right submandibular gland, left submandibular gland, parotid gland appear normal. The thyroid gland is normal in size and appears homogeneous. There is no abnormality seen at the cervicothoracic junction.