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Carotid body tumor with lung metastases

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Enlarging left neck mass

Patient Data

Age: 40 years
Gender: Female

There is a large mass on the left splaying the ICA and ECA. It demonstrates homogenous enhancement consistent with a carotid body tumor. 

Confirms a large mass on the left splaying the ICA and ECA. It is of high T2 signal with numerous punctate and serpiginous regions of low signal due to flow voids (so called salt and pepper sign).

The post contrast T1 fat suppressed images demonstrate vivid enhancement again with flow voids.

Multiple lung nodules suspicious for metastases. For CT chest.

Multiple pulmonary nodules suspicious for metastases.

Case Discussion

Features are consistent with a carotid body tumor, in this case metastasizing to the lungs.

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