History of thymic cancer. Post therapy scan 6 -- 26 -- 08 showed left uptake in thyroid bed. Left submandibular uptake (node versus salivary gland).? Faint uptake in the right lung base. Please evaluate (A) is submandibular area uptake a node versus salivary gland. (B.) are there any lung metastases. (C) rule out other Mets. CT of soft tissues of the neck:Images through the skull base including cavernous sinuses remain within normal limits. Paranasal sinuses and mastoid air cells are also unremarkable.The parotid glands remain within normal limits in morphology and pattern of enhancement.The signal intensity and morphology of the left submandibular gland is within normal limits.In the left submandibular region there is no evidence of new finding since prior MRI examination of 8 -- 30 -- 2008. Either an accessory salivary gland or a small node (however with a fatty hilar region) is noted. This remains identical to what was noted on prior MRI. The submandibular gland on the left remains within normal limits with no abnormal enhancement. The left submandibular gland however appears larger than the right side which is also a finding that was noted on prior MRI examination. The mandibles remains within normal limits and there is no evidence of any dental abnormality to account for increased uptake.Images at the level of the thyroid bed failed to demonstrate any residual enhancing thyroid tissue. Metallic clips bilaterally in the thyroid bed however obscure the detail. There is no evidence of any pathologic adenopathy in the neck.Limited images through the apices of the lungs are unremarkable. Limited images of mediastinum are unremarkable.Extensive postoperative changes of anterior fusion of the cervical spine is noted and there is however no evidence of any destructive bony lesion.
No evidence of a mass or pathologic adenopathy. Please review detailed report above.