Retropharyngeal lymph nodes

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

No neurological symptoms. MRI brain done with MRI of the spine as a work up for scoliosis.

Patient Data

Age: 8 years
Gender: Female
mri
This study is a stack
Axial
T1
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Axial
T2
This study is a stack
Axial
TIRM
This study is a stack
Coronal T2
fat sat
This study is a stack
Sagittal
TIRM
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Info

Small bilateral retropharyngeal lymph nodes at the skull base. Multiple small sub-centimeter lymph nodes, likely reactive in nature, are seen on both sides of the neck. Enlarged palatine tonsils. No significant nasopharyngeal adenoid enlargement is noted.

No hemorrhage or infarction was identified. No focal mass lesion, hydrocephalus, mass effect or midline shift. Cerebellum and brain stem are normal. Basal cisterns are normal.

MRI

Annotated image
Axial
T2-TIRM
Sagittal
T2-TIRM
Coronal
T2 FS
Coronal
T2 FS
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Info

Small sub-centimeter bilateral retropharyngeal lymph nodes and palatine tonsils.

Case Discussion

Incidental finding of small bilateral retropharyngeal lymph nodes at C1/C2 level (lateral group).

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