Female, 70 years old, with spasmodic torticollis, right posterior neck lumps, easy bleeding after Botox injection. A skin marker has been placed along the right posterolateral neck presumably indicating the area of concern. No masslike or vascular lesion is seen in the vicinity of the skin marker. The right upper sternocleidomastoid muscle and overlying subcutaneous soft tissues are mildly edematous. Elsewhere, no pathologic signal abnormality is seen in the neck. The aerodigestive mucosa is within normal limits. No pathologically enlarged lymph nodes are seen. The salivary glands are unremarkable. The thyroid is not clearly visualized. Multilevel disc osteophyte formation is seen with perhaps a mild spinal canal stenosis at C5-6.
1.No abnormality is identified to account for the easy bleeding after right neck Botox injections.2.Edema of the upper right sternocleidomastoid muscle and the overlying subcutaneous tissues may be related to the patient's torticollis or Botox injections.