Left otalgia, left base of tongue tingling and tenderness, left jaw pain radiating to ear. History of colloid nodule in the thyroid gland. Although many of the sequences are degraded by patient motion, there is no evidence of mass lesions in the left mandibular angle region where there is an overlying skin marker. There is no evidence of significant cervical lymphadenopathy based on size criteria. There is a mylohyoid defect on the right with slight protrusion of the sublingual gland, which is an anatomic variant. The major salivary glands are otherwise unremarkable. The upper aerodigestive track, including the base of tongue, also appears unremarkable, aside from aside from a retention cyst within the left maxillary sinus. There is a T1 hyperintense nodule in the left lobe of the thyroid gland that measures up to 20 mm. The major cervical vascular flow voids appear to be grossly intact. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. There is a retention cyst within the left maxillary sinus. There appear to be degenerative changes of the left temporomandibular joint with associated mild joint effusion and perhaps synovial cyst formation.
1. No evidence of mass lesions in the left mandibular angle region, where there is an overlying skin marker. 2. No evidence of significant cervical lymphadenopathy based on size criteria. 3. A left lobe of the thyroid gland that measures up to 20 mm corresponds to a known colloid cyst. 4. Apparent degenerative changes of the left temporomandibular joint with associated mild joint effusion and perhaps synovial cyst formation. Dedicated temporomandibular joint imaging via CT or MRI may be useful for further characterization if clinically warranted. 