72-year-old female with soft palate cancer. CT of the soft tissues of the neck:Images through the skull base and including cavernous sinuses are unremarkable. Mastoid air cells and paranasal sinuses are within normal limits. A mass with possible small area of necrosis is noted along the posterior lateral aspect of the soft palate on the left. The mass measures approximately 26.5 mm in AP axis and 14.6-mm in transverse axis measured on axial image 33. On coronal reformatted image 33 the tumor measures 28.6-mm in cranial cephalad axis and 16-mm in transverse axis. There is no definitive evidence of a pathologic lymph node in the neck. Increased vascularity immediately posterior to the mass in the left is noted (axial image 37 and 39).The vasculature of the neck is unremarkable. No evidence of osseous or cartilaginous erosion. Limited images of the apices of the lungs and mediastinum are negative however please review the dictated report of CT of chest which visualizes both these regions would better advantage. Extensive degenerative changes of the cervical spine is noted.CT of brain with infusion:Examination demonstrates a mass in the right anterior cranial fossa which is believed to be extra-axial in location the mass measures 18-mm in AP axis and 26.6-mm in transverse axis. The mass abuts the inner table of the skull a days the right frontal bone. There is a small amount of vasogenic edema surrounding the mass. There is uniform enhancement of the mass. The finding is believed to represent a meningioma the possibility of metastatic disease is considered significantly less likely however it cannot be entirely ruled out. Follow-up with an MRI is recommended. Minimal findings of a small vessel disease is noted. No evidence of any additional area of abnormal enhancement is detected. Calvarium is intact.50 CC of Omnipaque 350 was utilized for a bulbous studies.
1.Left-sided soft palate tumor with no associated pathologic adenopathy as detailed.2.Left frontal meningioma with associated area of vasogenic edema in the right anterior cranial fossa. Follow-up with an MRI is recommended.3.Minimal small vessel disease.