Mild retrolisthesis of C3 on C4. Degenerative remodelling of the C4 and C5 vertebral bodies. Loss intervertebral disc space at C3-4 to C5-6. Multilevel facet joint arthropathy. Pleural scarring in both lung apices.
Large abnormal soft tissue mass in the right neck measuring at least 10 cm extending into the upper thorax along the right aspect of the trachea. No left-sided cervical lymphadenopathy. Right carotid arteries are displaced anteriorly.
No distinct bony destruction/erosion or focally aggressive lesion.