Patient Name AARAV 1Y/M Patient ID 01

Age/D.O.B 1 Gender M

Referring Maa pitamabara hospital Date 30 Apr 24

Doctor

CT NECK PLAIN AND CONTRAST

History

Swelling since 15 days.

Technique

Spiral axial sections of neck were made from base of skull to the sternoclavicular
joint with and without IV contrast.

Observations

Study is limited due to motion artefacts.

Hypodense lesion deep to right sternomastoid muscle , abutting posterior and inferior poles of
superficial lobe of parotid gland. The lesion is displacing the carotid vessels and jugular vein
medially. The lesion show internal haemorrhagic foci, largest measures 30 x 33 mm. Inferiorly
the lesion is seen extending to medial supraclavicular region, abutting right lobe of thyroid.
Medially the lesion is seen extending to retropharyngeal space. Mild haziness in overlying
subcutaneous plane is seen.
TM Joints are normal.
Mandible is normal
The Nasopharynx, Oropharynx, Hypopopharnx show normal configuration and densities.
The epiglottis, valleculae and pyriform fossa are normal.
No abnormality is seen in the vocal cords or larynx.
The submandibular salivary glands appear normal on both sides.
Evaluation of lymph nodes is limited.
Both lobes and isthmus of the thyroid gland show normal configuration and densities.
The Thyroid cartilage, cricoid cartilage is normal.
The Trachea is normal.
Esophagus is normal.
Visualized sections of base of skull and cervical spine appear normal.
Visualised brain show no significant neuroparenchymal abnormality.
No lytic or sclerotic lesion is seen.

Impression

Hypodense lesion deep to right sternomastoid muscle , abutting posterior and inferior
poles of superficial lobe of parotid gland. The lesion is displacing the carotid vessels
and jugular vein medially.The lesion show internal hyperdense foci, which may
represent hemorrhage. Inferiorly the lesion is extending to medial supraclavicular
region, abutting right lobe of thyroid. Medially the lesion is extending to
retropharyngeal space.
Mild haziness in overlying subcutaneous plane.
Differentials include lymphangioma with hemorrhage , soft tissue neoplasm and less
likley likely hemangioma. Suggested CE - MRI neck for further evaluation.

Reported By,

Dr. Kiranmai S
MBBS, DNB, EDIR
Consultant Radiologist
KMC - ANP 2010 00000326 KTK
Key Images

Image 1 Image 2

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