74-year-old female with right ear pain, right neck pain, right shoulder pain, right suboccipital adenopathy, fever and chills. History of contrast allergy premedication (unreadable wording.) Enhanced CT of soft tissues of neck:Limited view of the intracranial content is essentially unremarkable for patient's stated age of 74.Images through the skull base, cavernous sinuses, paranasal sinuses and bilateral petrous bones are also normal.Very small soft tissue densities within the left external auditory canal is likely secondary to debris.The soft tissues of the suboccipital region demonstrate no evidence of lymphadenopathy as clinically indicated. No abnormality of occipital bone is detected either.Images through the neck demonstrate no evidence of a mass or pathologic adenopathy. The facia planes are well preserved. There is no evidence of any inflammatory changes of soft tissues of neck. There is no abnormal enhancement of soft tissues of neck. There is no evidence of any osseous or cartilaginous erosion. Limited images of mediastinum and upper lung fields are negative for masses or adenopathy.The aortic arch appears a slightly dilated and measures 43.5-mm in its widest visualized portion.Moderate degenerative disk disease at C5 -- C6 and C6 to C7 levels are noted. There is loss of disk height and subtle sclerotic changes of the adjacent endplates. There is a slight reversal of cervical lordosis which may be positional or secondary to degenerative spondylosis. There is partial visualization of the neural foramina in the cervical region. This demonstrate compromise the right neural foramina at C6 -- C7, C5 -- C6 bilaterally and C4 -- C5 on the right. Although this test is not appropriate for evaluation of central spinal stenosis there is no bony central canal stenosis. Considering a provided clinical date of an MRI of cervical spine might be helpful for further evaluation of patient's pain.
1.No evidence of mass or pathologic adenopathy in the neck.2.No evidence of any inflammatory/infectious process in the neck.3.No detectable suboccipital adenopathy as clinical data indicates.4.Well pneumatized paranasal sinuses, mastoid air cells and middle ear cavities.5.Degenerative disk disease throughout the cervical spine with multilevel neural foramina compromise as detailed above.6.Limited view of intracranial content is essentially unremarkable for patient's stated age.