Bilateral neck fullness/pressure. Hypercortisolism work up was negative. There is prominence of the bilateral supraclavicular fat pads. Otherwise, there is no evidence of measurable mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical flows voids are grossly intact. The osseous structures are unremarkable. There is a subcentimeter left nasopharyngeal retention cyst. The airways are patent. The imaged intracranial structures are unremarkable.
Prominence of the bilateral supraclavicular fat pads. Differential considerations include a manifestation of nutritional obesity, benign symmetric lipomatosis, and less likely Cushing syndrome, given the negative work up and lack of the typical disproportionate dorsocervical fat accumulation.