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3056658 tn?1340405954

Can someone please help me answer what my CT scan reads??

Please please someone explain what in the heck this means!!! It is Friday and I am freaking out that I can't talk to my doctor until Monday! :(

CT OF THE NECK WITH INTRAVENOUS CONTRAST - 06/21/12

HISTORY: Enlarged tonsils.

TECHNIQUE: Axial computed tomography of the neck with intravenous contrast administration per standard protocol with coronal and sagittal reformatted images; 100 ml Optiray 350 intravenously at left antecubital fossa without incident.

COMPARISON: None directly available.

Findings: Motion artifact is noted in examination. The parotid glands and submandibular glands are unremarkable in appearance. The thyroid gland is largely unremarkable as imaged. There is mild prominence of the adenoid soft tissues, slightly more prominent than the left with minimal mass effect at the airway. This is best appreciated at axial image 30. Consider direct visualization as a mass is difficult to exclude. There is no definite evidence of fluid collection/abscesses in the neck. Of note, the patient's head is rotated toward the left and therefore this may cause an atypical appearance to the central airway. This must be correlated clinically, as again, a mass is difficult to exclude given this image appearance. The vascular structures are intact and unremarkable as imaged. There is no discrete lymphadenopathy within the neck although there are bilateral subcentimeter lymph nodes, nonspecific. The imaged paranasal sinuses and mastoid air cells are fairly well aerated. A mucous-retention cyst versus polyp is suspected at the inferior aspect if the left maxillary sinus. The osseous structures are intact. The lung apices are unremarkable.

Impression:
1.  Prominence of the adenoid soft tissues. There appears to be soft tissue prominence at the left aspect of the airway with some component of mass effect which could be associated with the patients head tilted toward the left. A mass is difficult to exclude given this imaging appearance and clinical correlation is requested. Direct visualization may be helpful if needed.

2.  Nonspecific subcentimeter lymph nodes within the neck; no evidence of lymphadenopathy.

3. Mucous-retention cyst versus polyp at the inferior aspect of the left maxillary sinus.
4 Responses
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Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

You don't have to worry about the adenoidectomy and tonsillectomy. The procedure is actually easier to do for an adult as the diameter of the oral cavity is larger. The post-operative care and diet can be similar to that of a child, keep painkillers handy after the surgery. And Good Luck with your surgery.

Hope this helped and do keep us posted.
Helpful - 0
3056658 tn?1340405954
Hello Dr Anitha

I spoke with my regular doctor toady and as soon as I get back from vacation I am to go see the ENT as soon as possible. They found a cyst in/on my adenoid and I will be undergoing a adenoid and tonsil removal :( I am 37 years old and I have heard it hurt so much worse when you are older...
Helpful - 0
3056658 tn?1340405954
Wow! Thank you SO much for the explination!!! Is this something that I will have to have surgery on to correct? And too, is this condition caused from GERD do you think?

And for sure, I will keep you informed! Thanks again for your time!

Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

Adenoids are lymphoid tissue located in the nasopharynx. As per the report there is a suspected mass of the adenoid tissue. This prominence observed could also be due to the positioning of the head. Also, there is minimal enlargement of the lymph nodes. And there is a mucous cyst of the maxillary sinus. All these findings need to be correlated clinically based on the symptoms and examination.

Hope this helped and do keep us posted.
Helpful - 0
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