Female, 79 years old, with tracheomalacia, status post substernal goiter removal, vocal cord paresis, neck arthritis. Motion artifact decreases image quality on most sequences. Within this limitation, the following observations are made.Sequelae of left hemithyroidectomy is seen with no evidence of any masslike soft tissue in the operative bed. The right thyroid lobe is slightly heterogeneous and nodular, similar to prior CTs.Two T2 hyperintense, possibly cystic lesions are evident within the nasopharyngeal mucosa, both measuring less than a centimeter in diameter. No other significant aerodigestive abnormalities are seen though please note that subtle lesions of the larynx will not be adequately assessed on this examination due to artifact. The visualized salivary glands are within normal limits. No pathologic adenopathy is detected.A septated T2 hyperintense, T1 hypointense lesion is evident in the right paraspinal region adjacent to the first rib which appears to involve the neural foramina and which measures up to 24 mm in diameter. Similar but smaller appearing lesions are evident within the neural foramina of the adjacent low cervical and upper thoracic levels.
1.Sequelae of left hemithyroidectomy without suspicious or masslike tissue in the operative bed.2.Two subcentimeter probable nasopharyngeal mucosal cysts are seen.3.Multiple presumably cystic lesions are evident in association with the neural foramina of the low cervical and upper thoracic levels. These most likely reflect prominent perineural root sleeve cysts.