Left true vocal cord paralysis. Head CT:There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen.Neck CT:There is mild dilatation of the left laryngeal ventricle, compatible with history of vocal cord paralysis. No mass, or lymphadenopathy based on radiological criteria is identified. The thyroid gland appears unremarkable.Extensive degenerative disease of cervical spine results in spinal canal and neuroforaminal stenosis at multiple levels. Patchy opacities are seen in the lung apices.There are lytic lesions in C7 and T1 vertebrae. They demonstrate marginated borders, suggesting vertebral hemangiomas. They can be further correlated with MRI if clinically indicated.
1. Findings compatible with left vocal paralysis, however, no discrete mass or adenopathy is seen in the neck.2. Severe degenerative disease of cervical spine, resulting in spinal canal and neuroforaminal stenosis.3. Lytic lesions within C7 and T1 vertebrae, suggesting hemangiomas. They can be further correlated with MRI if clinically indicated.