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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this CT Scan Result Mean?

Dr. called this am with results from cervical spine MRI and was asked to get CT scan based on results of report, and it reads, "In the retropharyngeal region on the left, there is a 0.6 x 0.2 x 2.9 cm area of soft tissue signal suggesting an elongated lymph node. There is prominence of the nasopharyngeal tonsillar tissue. Mildly enlarged upper cervical lymph nodes at level II bilaterally, measuring up to 1.2 cm in short axie diameter on the right and 1.1 cm in a short axis diameter on the left." Please explain.
Wed, 24 Sep 2014
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General & Family Physician 's  Response
Welcome to health care magic.

1.The cervical spine MRI suggest there are multiple enlarged lymph nodes.
2.The lymph nodal enlargement is seen in presence of any infection / inflammation, it can be localised or systemic, seen in malignant diseases and lymph nodal pathology itself.
3.There is nasopharyngeal thickening - which could be inflammatory or suspicious circumferential thickening ( needs FNAC - fine needle aspiration cytology / BIOPSY to rule out malignancy)
4.The CT was suggested to see the enhancement after contrast and HU value.
5.Level II is an anatomical location of the lymph nodes, largest measurements on each sides as mentioned.
6.I would suggest to get an ultrasound guided FNAC for lymph nodal pathology. Good luck.

Hope i have answered your query.
Any thing to ask do not hesitate
http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888 Thank you.
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What Does this CT Scan Result Mean?

Welcome to health care magic. 1.The cervical spine MRI suggest there are multiple enlarged lymph nodes. 2.The lymph nodal enlargement is seen in presence of any infection / inflammation, it can be localised or systemic, seen in malignant diseases and lymph nodal pathology itself. 3.There is nasopharyngeal thickening - which could be inflammatory or suspicious circumferential thickening ( needs FNAC - fine needle aspiration cytology / BIOPSY to rule out malignancy) 4.The CT was suggested to see the enhancement after contrast and HU value. 5.Level II is an anatomical location of the lymph nodes, largest measurements on each sides as mentioned. 6.I would suggest to get an ultrasound guided FNAC for lymph nodal pathology. Good luck. Hope i have answered your query. Any thing to ask do not hesitate http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888 Thank you.