Female, 59 years old, with history of paraganglioma with worsening pain in the neck. An enhancing left carotid space mass is redemonstrated just below the level of the skull base. The lesion measures 25 x 22 mm (image 23 series 6), and has not significantly changed in size from the prior examination where it measured 25 x 23 mm. As before, the lesion displaces the carotid vessels medially but the vascular flow voids are preserved indicating patency.Multiple nodules are redemonstrated in the thyroid gland which do not appear to have changed significantly in size. The dominant nodule measures 25 x 20 mm, similar to prior. The salivary glands are unremarkable. No pathologic adenopathy is detected in the neck. Mild cervical spondylosis is seen. No concerning marrow signal abnormalities are detected.
1.Stable size of the left carotid space tumor compatible with the history of paraganglioma.2.No new lesions or other specific findings to account for the patient's increasing neck pain are seen.3.Multiple thyroid nodules are unchanged in size.