44 year old male with head and neck cancer. Status post chemo RT CT of the soft tissues of the neck.Images through the skull base are within normal limits.Images through the soft tissues of the neck demonstrate no definitive evidence of any masses or pathologic adenopathy. There is however slight fullness at the level of right posterior triangle which is contiguous with extensive areas of post operative change, surgical clips and effacement of fascial plane. I cannot entirely rule out possibly off a node within this region please correlate with clinical examination and if concern for lymphadenopathy in this location exist an MRI is recommended. Although no definitive evidence of lymph node can be detected on this exam.The bony density of the area of the study is negative for metastatic disease however extensive degenerative changes are noted.Limited images of the apices of the lung are negative for metastatic lesion. Please review dedicated report of CT of chest performed the same date.CT of brain with infusion.This examination is negative for metastatic lesion to the brain or the calvarium. This study is essentially within normal limits.
1.No definitive evidence of any masses or pathologic adenopathy.2.Unremarkable CT of brain with infusion.