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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic
8 topics, 31 min.
8 topics, 1 hr. 34 min.
8 topics, 48 min.
8 topics, 37 min.
8 topics, 26 min.
8 topics, 17 min.
8 topics, 1 hr. 24 min.
8 topics, 18 min.
8 topics, 23 min.
Interactive Transcript
Report
Patient History
Right neck mass. No mucosal lesion identified on physical examination.
Findings
Contrast-enhanced CT was performed from the skull base through the thoracic inlet. The study demonstrates multiple enlarged lymph nodes involving the right side of the neck. There is a conglomerate group of metastatic lymph nodes involving right level 2. There are multiple metastatic lymph nodes involving right level 3 and a probable small metastatic lymph involving level 4. This lateral lymph node measures approximately 7 mm in largest dimension. However, this is likely metastatic due to the fact that it is associated with multiple ipsilateral metastatic lymph nodes and is also asymmetrically enlarged compared to the left neck.
Imaging of the neck shows no evidence of aggressive lesions involving the nasopharynx, right tongue base, larynx or hypopharynx.
Visualized portion of the brain is grossly within normal limits. However, dedicated brain imaging is necessary for complete diagnostic evaluation.
Visualized portion of the chest demonstrates sternotomy wires and vascular clips. However, dedicated brain imaging is necessary for complete diagnostic evaluation.
Conclusions
Multiple right-sided metastatic lymph nodes with suspicious area involving the right tonsil. However, no lesion was seen at endoscopy.
Sternotomy wires and vascular clips.
Case Discussion
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Suresh K Mukherji, MD, FACR, MBA
Clinical Professor, University of Illinois & Rutgers University. Faculty, Michigan State University. Director Head & Neck Radiology, ProScan Imaging
Tags
Neuroradiology
Head and Neck
CT
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