Normal CT Soft Tissue Neck Report Template (With Contrast)

EXAMINATION: CT soft tissue neck with intravenous contrast.

CLINICAL HISTORY: [indication, e.g. “Neck mass”]

COMPARISON: None available.

TECHNIQUE: Axial helical images from the skull base through the
thoracic inlet after the intravenous administration of [x] mL of
[contrast agent], with coronal and sagittal reformats. Dose
reduction techniques were used.

FINDINGS:
Nasopharynx: Symmetric. No mass. The fossae of Rosenmüller are
patent.
Oral cavity and oropharynx: The tongue base, palatine tonsils and
soft palate are symmetric without mass or asymmetric enhancement.
The parapharyngeal fat planes are preserved.
Hypopharynx and larynx: The epiglottis, aryepiglottic folds, false
and true vocal cords are symmetric. The pyriform sinuses and
postcricoid region are unremarkable. The paraglottic and
pre-epiglottic fat is preserved. The laryngeal cartilages are intact.
The airway is patent.
Salivary glands: The parotid and submandibular glands are symmetric
and unremarkable. No ductal calculus or ductal dilatation.
Thyroid: Normal size and homogeneous enhancement. No nodule.
Lymph nodes: No pathologically enlarged or necrotic cervical lymph
node by size or morphology at levels I-VII bilaterally. No
retropharyngeal node.
Retropharyngeal and prevertebral spaces: Normal thickness. No fluid
collection.
Vessels: The carotid arteries and jugular veins are patent and
normally opacified. No thrombus.
Spine: No acute osseous abnormality. No destructive lesion.
Visualized lung apices and mediastinum: Clear. No apical nodule.
Visualized brain and skull base: Unremarkable.

IMPRESSION:
1. No acute or mass-like abnormality of the soft tissues of the
neck. No cervical lymphadenopathy.

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