54-year-old male. Please evaluate thyroid cancer. Pathology results of recent thyroid biopsy consistent with papillary thyroid carcinoma. BRAIN: Limited intracranial images demonstrate no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. No abnormal postcontrast enhancement no evidence of parenchymal or leptomeningeal metastases within limited intracranial images.Re-demonstration of the postoperative changes of a bilateral antrostomy, middle turbinectomy, partial ethmoidectomy and osteotomy of the sphenoidal sinus wall.There is unilateral mucosal thickening of the left maxillary sinus, the ethmoidal air cells the left frontal sinus, and the left sphenoidal sinus, with inspissated and bubbly secretions, consistent with sinus disease.NECK SOFT TISSUES:The oral cavity, oro/nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable/patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid and submandibular glands are unremarkable. Thyroid gland is normal in size and with a focal regions of hypoattenuation within the superior poles of the right and left thyroid glands. The soft tissues/cartilage surrounding thyroid glands are unremarkable. There are multiple, non-pathologically sized lymph nodes in the neck.The cervical and visualized upper thoracic spine demonstrates a hypoattenuating focus within the T1 vertebral body is nonspecific and may represent a hemangioma, metastasis less likely but cannot be excluded, further evaluation with MRI may be considered as clinically indicated.Bilateral neck vasculature is patent. Mild cervical spine degenerative change, most prominent at C5-6 level with no evidence of canal stenosis.LUNG APICES:Lung apices are clear bilaterally.
1. Abnormal thyroid with focal hypo-attenuating lesions as described above without adjacent soft tissue/cartilage abnormality.2. Scattered small lymph nodes in the neck soft tissue. They are not considered pathological based on size criteria. 3. Small focal hypoattenuating lesion within the T1 vertebral body, most likely represents a hemangioma, metastasis is less likely but cannot be excluded, further evaluation with MRI may be considered as clinically indicated.4. Stable postsurgical changes of sinus surgery with residual sinus disease as described above.