Interpreting CT Scan Findings
I am a 25-year-old female, standing at 5 feet 7 inches and weighing 150 pounds. I would appreciate some assistance in understanding the findings from my recent CT scan, along with your insights. I have noticed swollen lymph nodes for nearly nine months, accompanying some symptoms associated with fever and weight loss, though they have not been severe. Overall, my blood tests have returned normal results. Additionally, I am experiencing significant skin rashes. According to my oncologist, a biopsy or any further investigation is unnecessary. Should I consider seeking a second opinion, or can I rest assured that there is no cause for concern? Here are the findings from my soft tissue neck CT scan: - **Aerodigestive Structures:** Enlarged palatine tonsils observed. - **Thyroid Gland:** No distinct nodules found within the thyroid. - **Parotid and Submandibular Glands:** There are small nodules present in both parotid glands, which may include lymph nodes. Notable symmetric enhancement of the submandibular glands is evident. - **Lymph Nodes:** There are notable right-sided level 1 cervical lymph nodes, with the largest measuring 0.5 cm by 1.3 cm. Right-sided level 2 cervical lymph nodes are also prominent, the biggest measuring 0.9 cm by 1.8 cm. Furthermore, there is a significant right-sided level 3 cervical lymph node that measures 1 cm by 1.7 cm. On the left side, level 1 cervical lymph nodes are enlarged, with the largest being 0.6 cm by 1.5 cm, and left-sided level 2 lymph nodes measuring 0.9 cm by 2 cm. Additionally, there are small cervical lymph nodes on both sides of the neck. - **Vascular Structures:** The major arterial vessels in the neck are open and patent. - **Paranasal Sinuses:** There is a slight rightward deviation of the nasal septum. A small polyp or possibly a retention cyst is noted in the left maxillary sinus. - **Lung Apices/Superior Mediastinum:** These areas should be correlated with a related chest CT scan. - **Osseous Structures:** Mild degenerative changes are present in the cervical spine. **Summary:** The results indicate prominent palatine tonsils along with non-specific enlarged cervical lymph nodes bilaterally. It is advised to correlate these findings with clinical evaluations.
Answers (1)

7/2/2025, 3:10:50 AM
OpenHealth AI
The findings from your CT scan indicate several noteworthy details about your lymph nodes and other structures in your neck. Given your symptoms of swollen lymph nodes, mild fever, weight loss, and skin rashes, it’s understandable that you are feeling concerned. Let’s break down the findings and your options:
Key Points from Your CT Scan
- Enlarged Lymph Nodes: You have several enlarged lymph nodes on both sides of your neck, which could indicate a response to various conditions, including infections, inflammation, or less commonly, malignancy.
- Enlarged Palatine Tonsils: This is a common finding and might contribute to lymph node enlargement if there is an ongoing infection or inflammatory condition.
- Normal Thyroid Findings: No nodules were found in your thyroid, which is reassuring.
- Minor Findings: The slight deviation of the nasal septum and the small polyp or cyst in your maxillary sinus are typically benign.
Explanation
The presence of prominent lymph nodes generally suggests that your body is responding to some form of ongoing issue, which can range from infections to more chronic inflammatory conditions, or less commonly, malignancies. The normal blood tests you’ve had are a positive sign, but they don’t completely rule out issues that would require further investigation.
Next Steps
-
Monitor Symptoms: Keep a close eye on any changes in your symptoms, especially regarding the fever, weight loss, or if the rashes worsen. Document these changes as it will help in follow-up discussions with healthcare providers.
-
Consider a Second Opinion: If you feel uncertain about the oncologist's decision not to pursue further investigations, seeking a second opinion could provide clarity and peace of mind. Different specialists may have varying approaches to your symptoms.
-
Focus on Skin Rashes: Since you’re experiencing significant skin rashes, consider consulting a dermatologist, as they may help identify if your rashes are related to your lymph nodes or another condition.
-
Follow-up with your Primary Care Provider: Connect with your primary care provider about your symptoms and the CT scan results. They may recommend further evaluations, including clinical examinations or referrals to specialists.
-
Manage Overall Health: Ensure you're eating well, staying hydrated, and getting enough rest. Managing stress is equally important, as it can impact your immune system and overall health.
Final Thoughts
Feeling anxious about these findings is completely normal. Open communication with your healthcare team will help you gain clarity. Remember, getting a second opinion or further evaluations is your right as a patient, and it’s essential that you feel comfortable and reassured with your medical care plan. If you have any additional questions, feel free to ask.
Related Questions
Struggling with a Compulsive Addiction to Antifreeze
Age 24, height 5'9", weight 150 lbs. Using a disposable account. I realize that what I'm doing is extremely harmful, and I'm fully aware of the severe risks involved. Please, I do not require a lecture on the dangers. Since 2022, I've been consuming antifreeze, specifically ethylene glycol, and I'm trapped in this cycle. To date, I've consumed it around 300 times. There are moments when I manage to go weeks or even months without it, yet the urge to drink it incessantly lingers in my mind. I have explored every possible resource for help, undergone multiple psychological evaluations, and participated in various therapies, but no one has been able to define the underlying issue or provide a viable solution. I’m not currently in a suicidal state; while I have occasionally ingested it with self-harm intentions, I generally do not want to end my life. Nevertheless, I recognize that I am quite possibly jeopardizing my health with these actions. I’ve needed hospitalization five times for overdosing on the substance, yet I haven’t sought out medical attention for my physical well-being aside from that. Desperation is setting in as I can't continue down this path. I feel I am causing damage not only to myself but also to those around me, and I simply cannot find a way to stop. The confusion of my situation drives me to believe I’ve lost my mind—no rational individual would engage in such behavior. Currently, I'm on bupropion and an iron supplement. My existing mental health diagnoses include Major Depressive Disorder (MDD) and unspecified anxiety. Previous diagnoses included social anxiety, generalized anxiety disorder (GAD), bipolar disorder type 2, and panic disorder. Though borderline personality disorder (BPD) and obsessive-compulsive disorder (OCD) have been considered, they remain undiagnosed. Aside from ethylene glycol, I am not using any other substances.
Inquiry Regarding Wife's Liver Function Tests
My wife, aged 32, has been undergoing blood tests for nearly 18 weeks, and we have received her third set of results. A fourth test is scheduled for next month. We are seeking some clarity on these results because our general practitioner has not been very responsive, and we would appreciate any reassurance you could provide. Thank you for your assistance.
Back Muscle Spasms
I'm a 19-year-old male and I've experienced muscle spasms in my back and arms for as long as I can recall. I use the term "spasm" since I'm not entirely sure what else to label this sensation. Essentially, whenever I engage in any form of physical activity—whether it’s walking, working out, or any task that requires physical effort—I sometimes encounter this strange cramping sensation in my back and arms. I would characterize it as feeling like tight knots developing, primarily localized on the side of my back, near where my lateral muscles are, and also around the triceps area of my arms. This discomfort can persist from a few seconds to as long as 10 or 15 minutes, and it predominantly occurs on the left side of my body; however, I do experience it on the right side occasionally, as well. As I mentioned previously, these spasms can strike at any moment during physical exertion, even if I’m not directly using the aforementioned muscle groups. Interestingly, if my body is under any kind of stress or strain, those muscles tend to cramp regardless. Additionally, I’ve heard that increasing salt intake can help alleviate cramps, but it hasn’t made a difference for me in this situation. The pain feels coordinated, as if it travels in a straight line from my lats down through to my arms, and they seem to cramp together. Aside from this, there’s not much else I can elaborate on.
Unexpected Diaphragm Twitches Following a Minor Motorcycle Incident
At 19 years old, weighing 60 kilograms and standing at a height of 5 feet 8 inches, I've encountered a curious issue. I have obsessive-compulsive disorder, which might be relevant to my situation. Recently, during a light rain, my motorcycle's rear tire lost traction while I was traveling at a slow speed, around 30 to 40 kilometers per hour. As I attempted to brake, I lost control and fell, hitting my head against the pavement—a hard lesson learned, especially since I wasn’t wearing a helmet. Fortunately, the swelling from the impact was minimal and has since subsided without any lingering symptoms. However, I did sustain a bruise to my lower left rib area, which also healed naturally over the next few days. Despite recovering from these injuries, I've been experiencing an unusual sensation beneath my ribcage, where my diaphragm is located. It feels as though it is fluttering or twitching intermittently. Can anyone provide insight into what might be causing this? Thank you for your assistance!
Rash in Infants
Age: 6 months Gender: Male Height: 28 inches Weight: 16 pounds Ethnicity: Caucasian Duration of symptoms: 2 to 3 days We noticed a rash on our baby yesterday, starting on his arms. The rash on his arms has since resolved, but it has now spread to his cheeks. During our visit to the pediatrician, they suggested seeking another professional opinion. However, neither doctor could provide a definitive diagnosis; they suspected it might be a viral rash and advised monitoring its development. Interestingly, they explicitly ruled out hand, foot, and mouth disease, although I have my doubts about that. What insights can you provide from the expertise of the Reddit community? Existing health issues: None reported. Current treatments: None prescribed. UPDATE: All behaviors are normal, including feeding, diaper usage, and sleep patterns. There is no fever present.