Presentation
Neck swelling.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Multiple enlarged cervical lymph nodes, more on the right side, largest is the right post-auricular lymph node.
Enlarged right parotid gland with multiple enhancing homogeneous masses.
Multiple enlarged cervical lymph nodes that display avid enhancement on post-contrast study, larget is the right post-auricular lymph node.
Diffusely enlarged right parotid gland with multiple homogeneous masses with postcontrast enhancement, mostly enlarged intra-parotid lymph nodes.
Case Discussion
CT and MRI through the neck demonstrate extensive subcutaneous masses consisting of enlarged lymph nodes and enlargement of the right parotid gland. These masses are homogeneous and enhancing.
Features are consistent with Kimura disease which was confirmed on histology. It is a rare benign inflammatory disease that presented with enlargement of cervical lymph nodes and salivary glands. It shows predilection near the angle of the mandible and post-auricular groups
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