14-month-old female with newly diagnosed neuroblastoma. Neck CT:Due to the lack of body fat, the lesions seen on prior MRI study are more difficult to delineate on this CT study. Again noted are masses in bilateral neck, primarily at level 2 of the internal jugular chain, consistent with lymphadenopathy. There is also a mass measuring 16 x 12 mm in the right lower neck, probably in the carotid space at the level of the thyroid. These findings are compatible with history of neuroblastoma.The osseous structures and limited view of the upper lungs appear unremarkable.There is nonspecific opacification of the paranasal sinuses, left middle ear and mastoid air cells.
1. Right neck mass, and bilateral adenopathy, compatible with history of neuroblastoma. The findings are similar to recent MRI study, and are actually better visualized on the prior MRI due to the lack of body fat.2. Nonspecific paranasal sinus, left middle ear and mastoid air cells inflammatory changes.