I had a CT scan done on 3 JUL. It was done serial axial 1mm images through neck after the administration of 75cc Visipague. Total DLP 724.40
Findings: There are two prominent level 2 lymph nodes, with Left level 2 lymph node measuring 1.9 x 1.9 x 1.3cm. Right level 2 node measures 1.9 x 0.9 x 2.2cm. More medial Right level 2 node measures 1.2 x 1.4 x 0.9cm. More medial inferior Left level 2 node measures 1.0 x 1.7 x 1.2cm. Small bilateral level 3 and 4 lymph nodes. Both Tonsillar pillars are prominent. Prominent tongue base soft tissue fills the vallecula. No nasopharyngeal mass. Epiglottis and aryepiglottic folds are not thickened. Vocal cords symmetric. Upper Trachea is widely patent. 6mm Hypodense nodule noted in right lobe of Thyroid Gland.
Hi, it looks like the next step should be to get a look at an individual node to see how it is inside. I'm assuming that your doc ordered that CT because this doesn't seem to be a short term situation.
Maybe a sonogram would be good enough, to try and see if a node's internal architecture seems normal. If a "fatty hilum" is visible, that's a very good sign.
Or, instead of a scan, there is the possibility of a biopsy -- especially if a suspicious node is easily available to be taken out without too much risk. Or maybe a surgeon would think that taking a tonsil for study would be better.
Or maybe that thyroid nodule was the start of everything, and they'd want to biopsy that. *If* the nodes are cancerous, they might be lymphoma or they might be secondary metastasis to a cancer in the thyroid.
It's still possible that everything is from a bad infection, since mostly only lymph nodes and lymphoid tissue seem to be involved. Lots of people, AFAIK, might have benign thyroid nodules.
I'd guess that the sizes of the largest nodes are right on the borderline of what might still be benign and not cancer.
The lack of nasopharyngeal masses seems to rule oot plasmacytoma.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.