تعليم الأشعة المقطعية_Ct Scan

 Bilateral evident mixed typed emphysematous changes are seen being more evident lower lobar with ground glass veiling, interlobar septal thickening, reticulations and atelectatic bands as well as bilateral diffuse mosaic attenuation denoting possibility of interstitial lung disease for clinical correlation.  Multiple subpleural emphysematous bulla are seen with the largest one is seen at medial segment of right lower lobe measuring 2.8 x2.4 cm.  Mild cardiomegaly with minimal pericardial effusion.  Prominent reactionary looking mediastinal LNs.  No evidence of pleural effusion seen.

 Left neck cystic lesion is seen showing the following criteria: o It is seen likely originating from left thyroid lobe enlarging it. o It shows thickened enhancing wall and septae as well as few calcific foci. o It shows scattered soft tissue components with the largest one is seen measuring about 2 cm in thickness. o It compressing and lateral displacing the left carotid sheath content including CCA , IJV and their branches being closely related to it yet the vascular structures are seen patent. o It is seen related closely to the left external carotid vessel and its branches o It is seen compressing and displacing the larynx, larygopharynx , trachea as well as esophagus to right side. o It is seen related deep to left sternomastoid muscle and extending posteriorly to be related anteriorly to the vertebral bodies. o It measures about 6 x8 x9 cm.  Right thyroid lobe and isthmic nodules with some of them show calcific foci.  Multiple reactionary looking cervical LNs are seen.

• Left neck cystic lesion with solid component (complex cystic lesion) as described likely originating from the left thyroid lobe for histopathological correlation (FNAC from the solid component). • Right thyroid lobe and isthmic nodules for US correlation.