Atypical 2nd branchial cleft cyst (type IV) - infected
Pain and swelling of the neck
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Well-defined cystic mass with thick, smooth and enhanced wall is seen at parapharyngeal-prevertebral spaces . Cervical lymphadenopathies also are noted .
The findings compatible with 2nd branchial cleft cyst ( atypical - type IV ) which seems to be infected. Although the most common location for a 2nd branchial cleft cyst is the submandibular space, the cyst can atypically present in the parapharyngeal space.
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