66-year-old male evaluate disease is status. Metastatic renal cancer. Limited lateral examination due to lack of contrast.Images through the skull base are within normal limits.Images through the soft tissues of the neck demonstrate no definitive evidence of pathologic adenopathy. No definitive evidence of any masses is detected. Limited images of the apices of the long demonstrate no definitive pathology however in please review dedicated CT of chest performed the same date. Bony density of the area of exam is unremarkable for metastatic disease. Significant degenerative disk disease with areas of significant central spinal stenosis is again identified and can be further evaluated with dedicated MRI. Extensive opacification of bilateral maxillary sinuses are consistent with chronic inflammatory sinus disease.
1.No evidence of any masses or pathologic adenopathy in the neck.2.Very advanced degenerative disk disease with compromise of the canal and neuroforamina.3.Extensive chronic inflammatory sinus disease of maxillary sinuses.