Case of the Month June 2014, Page 2

Answer:

  • There is a 25 x 34 mm left isodense mass that is indistinguishable from the submandibular gland with surrounding fat infiltration and edema as well as thickening of the adjacent platysmas.
  • Due to the lack of IV contrast the enlarged submandibular gland includes in its differential diagnosis malignancy, infection, inflammatory process and glandular obstruction.

Follow up:

  • Upon further questioning, he admits to discomfort on the left floor of his mouth intermittently for the past week.

For larger images, please click on CT neck 2 and CT neck 3 .

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