Ct scan Neck: - ET T in stitu with its tip seen at the carina - A huge ill d efned he ter ogenously enhanc ing mass seen appear s to be arising rom the let larynx infltrating the let thyroid cartilage and let pretracheal muscle!t measure "#$ x "#$ x %#& cm displacing the tracheal tube to the right sideThe mass is extending posteriorly to the let piriorm ossa!t is also suspiciously infltrating the let thyroid lobe- The let carotid arteries# internal 'ugular (ein and le t ster nocleidomastoid muscle are displaced laterally )uperiorly# the hyoid bone# tongue# both submandibular and both parotid glands are intact- *araphar yng eal space and postnasal space ar e normal- No cer( ical ly mphadeno pathy - +inimal muco sal t hicke ning i n let maxilla ry# both ethmoid and rig ht sphenoid sinuses,est othe paranasal sinuses are clear - No o cal enha nci ng lesio n in t he (i siuali ed b rai n par enchyma- +a sto id air ce ll s are clear Thorax: - *l eur a thicke ni ng not ed at b oth apical r egion - No metastat ic lung nodules seen- No pleural e.usion - No mediast inal l ymphadenopat hy - /eart is not enia rgedNo pericar dia l e.usionAbdomen0pel(is: - A small wel l defned hypo dens e lesion seen in s egment 1! ! othe li(er - The gallbla dder# pancr eas# spleen # both adrenals# kidney s a nd s tomach are normal - No ob(ious bowel r elated mass or dilated bowels- 2rinary bla dder is smooth in outl ine- No s ignifcant abdomi nal a nd pel( is ly mphadenopathy - No ascites 3one: - 4egenarat i(e changes othe (isuali ed spineNo met ast ati c bony l esi on!mpresision: - 5 eatures ar e in kee ping with laryngeal c arci noma with local inflt ration into the let thyroid gland# let thyroid cartilage and let piriorm ossa- )imple l i(er cystleher: - *emeriksaan ETT h any a terlihat sampai di karina