Dr. Yousem has provided the following report as a sample report for your reference. It does not match the case reviewed in the video.
Indication: Right sided neck mass
Technique: Axial CT scan images were performed from the cavernous sinus to the thoracic inlet following administration of omnipaque 350.
Findings:
A well-defined cystic lesion is present underlying the right sternocleidomastoid muscle and centered at the level of the angle of the mandible. It has a discernible wall and is surrounded by several small solid lymph nodes. This lesion displaces the right internal jugular vein and carotid bifurcation anteriorly and medially. This lesion measures approximately 3 cm in diameter. No further cystic lesions are identified.
The upper aerodigestive tract is unremarkable. The visualized intracranial contents are unremarkable. The paranasal sinuses are clear aside from a small mucus retention cyst or polyp in the right maxillary sinus. The salivary and thyroid glands are unremarkable. The visualized cervical vascular structures are within normal limits. The visualized lung apices are clear.
Impression:
Right sided cyst underlying the right sternocleidomastoid muscle with thick wall and surrounded by several small solid lymph nodes. The most likely consideration is an infected branchial cleft cyst however the presence of the thick wall and surrounding lymph nodes raises the possibility of metastatic lymphadenopathy secondary to a upper aerodigestive tract squamous cell carcinoma. Clinical correlation and aspiration biopsy recommended.
