Please evaluate neck and ear pain. Enhanced CT of the soft tissues of the neck:60 cc of Omnipaque 350 was administered.Limited images of the intracranial demonstrate findings suggestive of small was ischemic disease.Images through the skull base, cavernous sinuses, bilateral Petrus bones and paranasal sinuses are unremarkable. Mastoid air cells and middle ear cavities are pneumatized and unremarkable.Images through the neck demonstrate no evidence of a mass or any pathologic adenopathy.Calcification and cystic changes of left lobe of thyroid there is suspected of goiter. Very limited view of the apices of the lungs are unremarkable.Examination demonstrates extensive degenerative disk disease of the cervical spine and hypertrophic changes of posterior elements. No evidence of lytic or sclerotic changes. There is no evidence of fracture or malalignment. There is however unusual presentation of posterior arch of C1 projecting anterior to the posterior elements of C2. This may be result of extensive degenerative changes at C1 -- C2 level. This can be started around or through the dedicated MRI of the cervical spine.
1.Negative enhanced CT of soft tissues of neck for tumor or pathologic adenopathy.2.Excessive degenerative changes of cervical spine and with unusual appearance of location of posterior arch of C1 anterior to the posterior elements of C2. There is no evidence of fracture or malalignment. If patient's neck pain persists recommend follow-up with dedicated MRI of cervical spine.