CT features of left vocal cord paralysis are noted. No significant cervical lymphadenopathy is seen. There is a diffuse circumferential mucosal thickening of the mid and lower esophagus. No obvious abnormality is appreciable at the gastroesophageal junction. No obvious esophageal dilatation is seen. A necrotic lymph node measuring approximately 18 x 19 mm is seen in the tracheoesophageal groove at the level of the aortic arch, which is likely compressing the left recurrent laryngeal nerve, leading to the left vocal cord paralysis. A few other mediastinal lymph nodes (lower right para-tracheal & subcarinal) and small right supraclavicular lymph nodes are also seen.
Well-aerated lungs with mild bilateral apical pleural thickening. No suspicious pulmonary mass/nodularity is seen. Gross morphology of the visualized liver, spleen, pancreas, and adrenal glands is within normal limits. A 7 mm radiopaque calculus, and a 15 x 17 mm simple cortical cyst are seen in the partially visualized upper left kidney.