CT SCAN REPORTS

NAME : GAN ING LEONG

MRN : 00102619

AGE / SEX : 39 / MALE

DATE : 18 MAR-05

COMPUTED TOMOGRAPHY OF THE CHEST AND ABDOMEN

Multi phase contrast enhanced scans of the chest, abdomen and pelvis.

The great vessels of the mediastinum are normal. No significant mediastinal or hilar lymphadenopathy identified. The heart and pulmonary vessels are normal. The ascending, arch and ascending aorta is normal.

Both lung fields are normal in density. No focal lung nodule or parenchymal abnormality. There is no pleural effusion or thickening. The trachea, main and segmental bronchi are patent. The chest wall, ribs, vertebrae and paravertebral soft tissues are normal.

The liver is normal sized. Small (12mm) hypodense nodule in the Rt lobe ? metastasis. The intra and extra hepatic bite ducts are not dilated. The gallbladder is normal. Gallstone noted. The CBD is not dilated. The pancreas is normal sized and density. The spleen is normal. Both kidneys are normal sized and density. No paraortic lymphadenopathy or ascities detected.

The bladder and rectal outline are normal. The perirectal fat planes are clear. No pelvic mass or fluid collections. The Rt & Lt iliac fossae are normal.

IMP. Small hypodense nodule in the Rt lobe of the liver ? metastasis.


COMPUTED TOMOGRAPHY OF THE NECK

Contrast enhanced axial spiral scans of the neck.

Large contrast enhancing tumor mass in the nasopharynx with extension into the skull base and Lt cavernous sinus. Lt cervical lymphadenopathy noted. There is infiltration of the pituitary fossa.

IMP. The findings are consistent with NPC and Lt carvenous sinus infiltration.