CT Scan of soft neck tissue (excerpted)
11 August 2004

Indication: Neck mass

Impression:
	A 5cm wide by 9 cm high neoplasm in the right neck
with evidence for bony destruction of the lateral aspects of
C6, with extension through the neural foramina
for C6/7 and C5/6.  Mass largely contained in deep cervical
fascia within the prevertebral portion of the perivertebral
space.  This mass encases the right vertebral artery from
the subcavian to C4 level. There is anterial and left
lateral displacement of the laryngeal structures.  There does
not appear to be adenopathy within the jugular chains,
spinal accessory or transverse cervical chain at this time.

Notes:

5cm wide by 4.8 cm deep; prevertibral portion of 
perivertebral space.  It extends from C3 to T2
vertically. It appears to be contained in the
deep layer of the deep cervical fascia

Lyctic destruction of the right lateral aspect of C6;
evidence of extension into neural foramina of C5/6 and C6/7.

Mass displacing laryngeal structures to the left; thyroid
cartilage rotated in leftward anterior direction.  The
cartoid artery and thyroid gland are anteriorly displaced.
[anterior = front, as opposed to posterior].

The right vertebral artery is encased from its origin
on the subclavian upward to C4.

Differential diagnosis based on this scan: non-Hodgkin's
lymphoma or meastatic disease to the vertebral bodies.