Possible spasmodic dysphonia: rule out central cause. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild, scattered, nonspecific foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Neck: There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There are bilateral upper thoracic spine neural foraminal perineural cysts. There is bilateral upper lung bronchiectasis, enhancement, and cavities compatible with mycetomas.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. No evidence of mass lesions in the neck.3. Bilateral upper lung bronchiectasis, fibrosis, and cavities related to mycetomas.