Neck pain and snapping when turning head. The parotid and submandibular glands are clear. Patient is edentulous. Dystrophic calcifications are identified in the tonsils. The carotid arteries are tortuous but there is no focal stenotic lesion identified. Small shotty lymph nodes are present, none are enlarged by size criterion. Small lucencies are present in the thyroid gland, this may be further evaluated with ultrasound if warranted clinically.There are mild degenerative findings present in the cervical spine with decreased disk height and spurs, this is most marked at C6-7 and this results in mild central and foraminal stenosis. Note is also made of a small sclerotic focus in the T2 or vertebral body on the left side. This has a benign appearance suspicious for a bone island, if there is history of neoplasm follow up bone scan is suggested. There are nonspecific patchy opacities probably scarring at the lung apices.
Unremarkable CT study of the soft tissues of the neck. There are mild degenerative findings present in the cervical spine which could be better described as a dedicated study. There is sclerotic focus in the T4 vertebral body on the left side and although the appearance is benign a follow up bone scan may be helpful if warranted clinically.