Branchial cleft cyst

Case contributed by Dr Paul Smith
Ultrasound

A well circumscribed lesion of decreased echogenicity is identified anterior to the right sternocleidomastoid muscle in the infrahyoid neck.

A small duct arises from the anterior apex of the lesion and courses to, but does not breech, the skin- a finding which resembles an aubergine and stalk.

No vascularity is noted, with posterior accoustic shadowing identified.

The appearance is stable in appearance and has not changed in appearance over multiple ultrasound scans.

Case Discussion

Whilst initially attributed to a 4th branchial cleft cyst owing to its anteroinferior position sternocleidomastoid and close proximity to the thyroid, however given its more superficial nature a 2nd branchial cleft cyst may be more likely.

PlayAdd to Share

Case information

rID: 10991
Case created: 7th Oct 2010
Last edited: 26th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.