C5-6 partial laminectomy for cervical decompression and tumor resection. There are postoperative findings related to recent C5-6 partial laminectomy for cervical decompression and tumor resection, with a drain in the right posterior paraspinal surgical bed. There is no longer compression of the spinal cord, although mild deformity and signal abnormality persist. There appears to be residual tumor in the right paraspinal region and within the C5 and C6 vertebrae, which overall measures up to approximately 45 mm and abuts and possibly encases the right vertebral artery, although the flow void remains intact. There is also a residual posterior disc-osteophyte complex at C5-6. There is no vertebral subluxation and the vertebral body heights are essentially intact. There is a bosselated T2 hyperintense mass in the right parotid gland, which measures up to 25 mm. There is a partially imaged posterior mediastinal tumor.
1. Postoperative findings related to recent C5-6 partial laminectomy for cervical decompression and tumor resection, without residual compression of the spinal cord, although mild deformity and signal abnormality persist. Residual tumor is present in the right paraspinal region and within the C5 and C6 vertebrae, with possible encasement of the right vertebral artery.2. A partially imaged posterior mediastinal tumor likely represents metastatic disease. Please refer to the recent chest CT report for additional details.3. A mass in the right parotid gland, which measures up to 25 mm, may represent a pleomorphic adenoma, although additional metastatic disease is a consideration.