CT And MRI Results

 For those that are interested, here is the CT result and pictures to help you understand what they are talking about:

CT scan Exam: CT SOFT TISSUE NECK WITH CONTRAST

FINDINGS: Intracranial Structures: 13 mm x 8 mm enhancing mass in the right superior frontal gyrus was not included on the field-of-view on referenced imaging. Paranasal sinuses: Visualized sinuses are well aerated. Mastoids: Well aerated. Orbits: Normal. Skull Base: Normal. Masticator Space: Normal. Salivary Glands: Normal. Nasopharynx: Normal. Oral Cavity and Oropharynx: Normal. Hypopharynx and Larynx: Normal. Trachea, Aerodigestive tract: Normal. Thyroid: Normal. Lymph Nodes: Index nodes are as follows: The ill-defined left level IV lymph node conglomerate with invasion of the adjacent scalene muscles measures approximately 3.4 cm x 3.3 cm, 3.3 cm x 3.7 cm on 02/03/2021 and 4 cm x 4.8 cm on 01/31/2020. There is questionable enhancement of the regional brachial plexus. Left node of Rouviere measuring 9 mm x 9 mm, 9 mm x 11 mm on 02/03/2021 and unmeasurable on 01/31/2020. Left level Ia measuring 12 mm x 12 mm, 12 mm x 7 mm on 02/03/2020 and 10 mm x 6 mm on 01/31/2020. Left level IIa measuring 13 mm x 10 mm, 11 mm x 11 mm on 02/03/2021 and 10 mm x 11 mm on 01/31/2020. Small bilateral level I and left level V lymph nodes are stable compared to 02/03/2021 and mildly increased compared to 01/31/2020. For example, a right level I node measuring 8 mm x 6 mm, unmeasurable on 01/31/2020. Vessels: The carotid arteries and jugular veins are patent. Osseous Structures: No destructive changes are found. Small sclerotic foci in T3 and chronic T5 compression deformity are redemonstrated. IMPRESSION: 1. Several cervical lymph nodes are stable compared to 02/03/2021 but mildly increased in size compared to 01/31/2020. 2. The left level IV lymph node conglomerate is stable compared to 02/03/2021 and mildly improved compared to 01/31/2020. There is questionable involvement of the regional brachial plexus, which can be further assessed with brachial plexus MRI as clinically necessary. 3. Small right frontal metastasis, which was not included on the field-of-view on referenced imaging.

Here is the MRI:

MRI BRAIN WITH AND WITHOUT CONTRAST

 FINDINGS: Brain: Mild nonspecific signal abnormality in the deep white matter should represent old small vessel ischemic damage. 10 mm x 6 mm enhancing lesion at the depths of the right superior frontal sulcus and 3 mm enhancing lesion in the left occipital lobe. No significant associated mass effect. Incidental left posterior frontal opercular developmental venous anomaly. Midline Structures: The midline structures of the brain are normal. Ventricles: The ventricles, sulci and cisterns are within normal limits. Vasculature: The vascular flow voids at the base of the brain are within normal limits. Calvarium: The visualized osseous structures are unremarkable. Sinuses: Minimal scattered atheromatous calcification. Orbits: The orbits and globes are unremarkable. Mastoids: Partial bilateral mastoid opacification. Extracranial soft tissues: The visualized extracranial soft tissues are unremarkable. IMPRESSION: Small right frontal and left occipital metastases without mass effect or hemorrhage.