Left neck glomus tumor. Neck: There is a well-defined enhancing mass containing flow voids in the left post-styloid parapharyngeal space with slight extension into the left posterior fossa through a widened foramen ovale, as well as into the middle ear cavity. Overall, the mass measures up to approximately 4.5 cm. There appears to be associated compression of the left sigmoid sinus and upper internal jugular vein. The left internal carotid artery is deviated anteromedially. There is no significant lymphadenopathy in the neck. The salivary glands are unremarkable. There are bilateral thyroid nodules. There is anterior wedge deformity of the T3 vertebral body without evidence of edema. There are secretions in the left posterior ethmoid sinus.Brain: There is no evidence of intracranial hemorrhage or acute infarct. There is diffuse patchy cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a persistent left trigeminal artery. The orbits are grossly unremarkable.
1. Left glomus jugulotympanicum tumor measuring up to approximately 4.5 cm.2. Persistent left trigeminal artery. 3. Chronic compression deformity of the T3 vertebral body. 4. Bilateral thyroid nodules. Thyroid ultrasound may be useful for further evaluation.