I just had an MRI of the neck for left neck pain. The results stated no masses see, slightly enlarged nodes are seen in the vascular space in the carotid space. They are less than 1 cm in diameter and may be reactive in nature based on size. No inflammatory change or edema is seen in the subcutaneous fat. Musculature is grossly unremarkable.
Impression: Cariotid space adenopathy.
No infection was indicated on recent labs and I have not been sick.
My question: Should this be further examined? If so, by what type of specialist? What could these results indicate?
How tall are you (feet and inches)?: 5'7"
What is your weight in pounds?: 154
How old are you?: 44
How long has this been going on?: More than a month
Check all symptoms you are currently experiencing:
Describe associated symptoms not listed above: Left neck pain. Pain along outer left breast and below left groin area.
Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): A-fib, diarrhea
Check all conditions present in your immediate family... :
Please list any medications you are currently taking (and dosage if known) ::
Dilazetam ER 300/24 one qd
Benicar 40 mg 1 qd
When was your last menstrual cycle?: I no longer have a menstrual cycle
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Rarely
HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: Within 8 hours
What could the results indicate?
What type of doctor should I see?
Should I have additional testing?
These results in and of themselves are not 'diagnostic' of anything. As to whether they have anything to do with the symptoms for which the MRI was ordered, probably not. This may well be what we call an 'indidentaloma'.... something we found on a study that doesn't mean much. However, I will admit, this is not my area of expertise. We will try to live up to your 8 hour request though our ENT consultant may not be available in that time. And that is who you would want to follow up with, an Ear Nose and Throat surgeon. But as to whether you NEED to or not, that is another question.