กระดาษแผ่นที่ 1 CT SCAN OF THE CHEST WITH CONTRAST HISTORY: Papillary thyroid cancer S/P total thyroidectomy and 1-131 ablation. FINDINGS: The study reveals multiple 0.3-0.4-cm oval-shaped solid pulmonary nodules scattering entire both lungs predominately in lower lungs, suspicious of multiple pulmonar y metastasis. Please correlates with previous imaging Both pleural spaces are clear Trachea and main bronchi are patent Heart, great vessels and pericardium are within normal limits. A 2.0x1.5x1.9-cm enhancing soft tissue at right upper paratracheal region is suspected nodal metastasis. Few subcentrimeter right paratracheal nodes are measured up to 0.6cm. No bony destruction is found. Visualized liver, spleen, pancreas and both adrenal glands are unremarkable. - Multiple 0.3-0.4-cm oval-shaped solid pulmonary nodules scatterin uspicious of multiple pulmonary metastasis. Please correlates with prev A 2.0x1.5x1.9-cm enhancing soft tissue at right upper paratracheal r IMPRESSION entire both lungs, s ious imaging region, suspected n odal metastasis. Few subcentrimeter right paratracheal nodes size up to 0.6cm กระดาษแผ่นที่ 2 CT NECK WITH CONTRAST HISTORY: Papillary thyroid cancer S/P total thyroidectomy and I-131 ablation FINDINGS: The study reveals a 1.3x0.7x0.9-am soft tissue lesion at left thyroid bed, susp ected recurrent tumo e study reveals a 1.3x0.7x0.9-cm soft tissue lesion at left thyroid bed, susp Multiple subcentrimeter bilateral cervical nodes are measured up to 0.5cm at right cervi cal node group II. Normal appearance of nasopharynx, oropharynx and hypopharynx are seen without gro ss mass. Adenoid glands and tonsils appear unremarkable Prevertebral space, parapharyngeal spaces including carotid spaces are intact. Fatty replacement of parotid glands and submandibular glands are shown. Both orbits, PNSs and bilateral mastoid air cells appear normal The visualized brain parenchyma shows normal attenuation without definite space takin g lesion. The visualized bony structures and muscle are unremarkable IMPRESSION x0.7x0.9-cm soft tissue lesion at left thyroid bed, suspected recurrent tumor. Multiple subcentrimeter bilateral cervical nodes, Size up to 0.5cm at right cervical node group II A 1.3
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