Patient ID: 123456   Patient Name: Henry O'Hara Age: 30     Race: White

REFERRING PHYSICIAN: Osay Canusee

REPORT: MRI NECK AND LARYNX

EXAMINATION: Total body bone scan

INDICATION FOR EXAM: Primary laryngeal carcinoma with adenopathy

PROCEDURE: The following sequences were obtained:

1) Sagittal MPGR TR:500 TE:25 4 mm intervals
2) Sagittal PS TR:500 TE:20 5 mm intervals
3) Coronal PS TR:500 TE 20 4 mm intervals
4) Axial PS TR:400 TE:20 8 mm intervals
5) Axial SE TR:2000 TE:20/60 5 mm intervals

FINDINGS:

There is enlargement of the base of the right aryepiglottic fold which represents the patient's primary tumor. There is otherwise no evidence for primary laryngeal tumor. The thyroid cartilage is normal as are the arytenoids. The true and false cords are normal in appearance. The remainder of the larynx is unremarkable in appearance. Unfortunately the coronal images are marred by a moderate degree of motion artifact associated with swallowing. There is an enlarged right cervical lymph node measuring 2.5 x 2.5 x 3 cm in size. It is closely adherent to the right sternocleidomastoid muscle as well as the right neurovascular bundle. No additional cervical lymph nodes are identified. There is otherwise no evidence for tumor extension into the perilaryngeal soft tissues. The remainder of the examination is unremarkable in appearance.

IMPRESSION:

1. Asymmetric thickening of the base of the right aryepiglottic fold representing the patient's primary tumor. Otherwise normal appearance of the larynx.

2. 2.5 x 2.5 x 3 cm right cervical lymph node with extension into the right sternocleidomastoid muscle and the right neurovascular sheath as described.