45-year-old male with history of EBV lymphoma proliferation in HIV. Follow-up. BRAIN: Limited intracranial images demonstrate no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.NECK SOFT TISSUES:The oral cavity, oro/nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable/patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. The lingual tonsils appear slightly prominent. No frontal masses are noted. There are many cervical lymph nodes at multiple levels.Small intraparotid lymph node is borderline in size measuring 12 x 8 mm (series 4, image 36). Small level 2 lymph node posterior and inferior to the right parotid gland is 11 x 8 mm (series 4, image 41). Small level 2 lymph node anterior to the sternocleidomastoid muscle anterior to the carotid artery measures 17 x 6 mm, (series 4, image 44). Additional multiple small lymph nodes are present throughout the visualized soft tissues not enlarged by CT criteria.Minimal multilevel degenerative change affects the visualized cervical spine without evidence of central canal or neuroforaminal stenosis. Vertebral body hypertrophy with posterior bridging osteophyte present at T1-T2 which is causing posterior indentation into the visualized cervical central canal. Due to CT technique and artifact in the spinal cord cannot be evaluated. There is clinical concern for cord compromise an MRI may be considered. The osseous structures are otherwise unremarkable.LUNG APICES:Lung apices are clear bilaterally.
1. Multiple lymph nodes some of which are borderline many of which are not pathologically enlarged by CT criteria, none of which demonstrate pathologic enhancement. No additional masses identified.2. Slight prominence of the lingual tonsils of uncertain etiology.3. Vertebral body hypertrophy with posterior bridging osteophyte present at T1-T2 which is causing posterior indentation into the visualized cervical central canal. Due to CT technique and artifact in the spinal cord cannot be evaluated. There is clinical concern for cord compromise an MRI may be considered. 