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Status post total thyroidectomy showing postoperative changes in the form of diffuse subcutaneous thickening and two surgical drains are seen within the operative bed in anterior lower neck regions.

Endotracheal and NG tubes are seen in situ.

Unremarkable the rest of supra and infrahyoid neck soft tissue spaces.

Diffuse smudged mediastinal fat planes and areas of fluid density disseminated in the mediastinal compartments with faint marginal enhancement are seen, encasing the SVC which showed filling defect within possible thrombosis associated with an enlarged necrotic subcarinal lymph node.

Bilateral subsegmental posterior consolidation and multiple patchy areas of ground-glass density scattered in both lungs suggestive of inflammatory changes.

Bilateral mild pleural effusions are seen.