Benign lymphoepithelial lesions
- Radiopaedia Events Pty Ltd, Speaker fees (past)
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
Updates to Case Attributes
The patient presented acutely to the emergency unit after hours. Initial non-contrast MRI brain confirmed the absence of an intracranial event. The patient refused admission for further biochemical and neurological workup including lumbar puncture and gadolinium administration.
Bilateral parotid enlargement with benign lymphoepithelial lesions and nasopharyngeal lymphofollicular hyperplasia is strongly suggestive of immune suppression and positive HIV status.
The differential diagnosis of Sjogren's syndrome was considered clinically unlikely in this patient.
-<p>The patient presented acutely to the emergency unit after hours. Initial non-contrast MRI brain confirmed the absence of an intracranial event. The patient refused admission for further biochemical and neurological workup including lumbar puncture and gadolinium administration.</p><p>Bilateral parotid enlargement with benign lymphoepithelial lesions and nasopharyngeal lymphofollicular hyperplasia is strongly suggestive of immune suppression and positive HIV status.</p><p>The differential diagnosis of Sjogren's syndrome was considered clinically unlikely in this patient.</p><p> </p>- +<p>The patient presented acutely to the emergency unit after hours. Initial non-contrast MRI brain confirmed the absence of an intracranial event. The patient refused admission for further biochemical and neurological workup including lumbar puncture and gadolinium administration.</p><p>Bilateral parotid enlargement with benign lymphoepithelial lesions and nasopharyngeal lymphofollicular hyperplasia is strongly suggestive of immune suppression and positive HIV status.</p><p>The differential diagnosis of Sjogren's syndrome was considered clinically unlikely in this patient</p>
Updates to Study Attributes
In view of the presenting history, there is minimal non-specific microvascular change with negative diffusion imaging excluding a hyperacute/acute or early subacute ischemic event.MRA. MRA is normal.SWI.S WI demonstrates a right parietal lobe punctate chronic microheamorrhage.
There is incidentalIncidental bilateral parotomegaly with diffuse, bilateral, solid and cystic masses suggestive of benign lymphoepithelial lesions. There is associated nasopharyngeal lymphofollicular hyperplasia. There is minimal anterior cervical lymph adenopathy. There is no associated submandibular or sublingual gland involvement on limited views.
There is incidentalIncidental uncomplicated acute on chronic sinusitis.