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What Does The Following MRI Report Indicate?

Posted on Tue, 4 Aug 2015

Question: Hi Dear,

Can you please tell me the meaning of this output from a MRI I got today
1. 3.5 cm right lateral retropharyngeal metastatic lymph node
2. Bilateral level IIb about 2 cm likely metastatic lymph nodes.Negative for supraclavicular lymphadenopathy
3. About 3x2.7x2 cm left nasopharyngeal soft tissue mass.No local invasion. No gross perineural spread.
4. Major consideration is nasopharyngeal carcinoma.Lymphoma is also included in the differential diagnosis.
Thanks, XXXXXXX

Answered by Dr. Paparaja S (28 minutes later)

Brief Answer:
Cancer of nasopharynx

Detailed Answer:
Hi,
Welcome to healthcare magic.
I had gone through your question.
I can understand your concern.
Cancer of nasopharynx as per your report.
Locally there is no destruction of bone. It is a good sign if there is no bone destruction. But it has extended ( metastasis) into neck lymph nodes.

Radiation treatment might help. I recommend you to consult an oncosurgeon for further assistance.

Hope I have answered your question. If you have any questions, I am happy to help.
Wish you a good health and speedy recovery.
Regards,
Dr Paparaja S MBBS MS
Consultant ENT Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Paparaja S (2 hours later)

Is Biopsy required to confirm nasopharynx cancer. My ENT specialist will perform it tomorrow.

Answered by Dr. Paparaja S (16 hours later)

Brief Answer:
Yes, Biopsy is required.

Detailed Answer:
Hi,
Thanks for the follow up.

Actual diagnosis is made by removing cells from an abnormal area and looking at them under a microscope.

Wish you a good luck.

Take care.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E