Mass in tail of right carotid and Rathke's cyst or tumor pituitary. New fullness involving the anterior chest wall.IMAGE ACQUISITIONS: Enhanced CT performed of the head. Enhanced CT performed of the neck. See separate report for chest CT. Evaluation of the brain shows no evidence of abnormality of the ventricles or basal cisterns. There is an expansile cystic lesion in the sella turcica that correlates with the lesion noted on MR imaging. Allowing for differences in modality. This does not appear to have changed significantly from the prior study. There is 1 cm nodule within the tail of right parotid gland that is nonspecific, but may represent pleomorphic adenoma. Evaluation of the remainder of the neck soft tissues shows a normal appearance of the nasopharynx and parapharyngeal spaces. No other nodules are seen within the parotid glands. The submandibular glands show bilateral submandibular stones as well as a calcification in the right sublingual space that likely represents a stone as well. There are multiple low-attenuation nodules also seen in the thyroid gland with more pronounced nodularity identified on the left. The largest measures 1.3-cm. Correlation with ultrasound or biopsy may be helpful as warranted clinically. The larynx and hypopharynx are unremarkable. There is no evidence of significant lymphadenopathy identified involving the neck soft tissues.
Stable cystic mass involving sella turcica and extending into the skull base. Approximately 1 cm nodule right parotid gland. Bilateral submandibular and right sublingual stones. Multiple nodules identified in the thyroid gland, most pronounced involving left lobe. See separate report for chest CT. 