Female, 48 years old, history of enlarging mass in the posterior neck. As on the prior CT examination, no discrete encapsulated fatty lesion is evident in the neck to correlate with the reported history of a lipoma. There are, however, prominent skin folds posteriorly at the base of the neck and a generalized prominence of the subcutaneous fat similar to prior.No enhancing lesions are detected. No pathologic adenopathy is observed. The aerodigestive mucosa is within normal limits. The salivary glands and thyroid are free of focal lesions. Evidence of anterior cervical spine fusion is seen but no other significant abnormalities of the visualized spine are detected. Incidental note is made of paranasal sinus mucosal thickening involving the maxillary sinuses and the right sphenoid sinus.
No evidence of any discrete encapsulated fatty tumor is seen within the neck. As on the prior CT, prominent skin folds are evident posteriorly at the base of the neck along with a generalized prominence of the subcutaneous fat which may correlate with the physical exam findings.The remainder of the examination is unremarkable with no evidence of any suspicious tumor or pathologic adenopathy.