FINAL DIAGNOSE CASE-91

Radiology case-91 (FB and INSTA)Post analysis

        X-RAY NECK – LATERAL VIEW

Cinical Indication:

Pain in neck and difficult in swellow..

Findings:

  • Cervical vertebrae are normally aligned with maintained vertebral body heights.
  • Intervertebral disc spaces are preserved.
  • No evidence of fracture or dislocation.
  • Prevertebral soft tissue shadow is seen to be widened at the level of C4–C6.
  • Within the prevertebral region, an irregular, calcified opacity is noted (red arrow marked area) suggestive of a calcified mass/lesion.
  • Airway appears partially compromised due to the mass effect.
  • Epiglottis and hyoid bone are visualized.

Impression:

  • Irregular calcified mass in the prevertebral/retropharyngeal region – possibilities include:
    • Calcified lymph nodes (likely tubercular in origin)
    • Calcified neoplasm (e.g., thyroid cartilage tumor / soft tissue tumor with calcification)

Recommendation:

  • Correlation with clinical findings.
  • Further evaluation with CT Neck with contrast is advised for characterization and extent.
  • ENT consultation recommended.
                                *********

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