Neck[2]

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 side The 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 le t maxilla ry# both ethmoid and rig ht sphenoid sinuses ,est o the 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 rged No pericar dia l e.usion Abdomen0pel(is: - A small wel l defned hypo dens e lesion seen in s egment 1! ! o the 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 o the (isuali ed spine No 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 cyst leher: - *emeriksaan ETT h any a terlihat sampai di karina

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Neck[2]