Presentation
Enlarging left neck mass
Patient Data
Age: 40 years
Gender: Female
From the case:
Carotid body tumor with lung metastases
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Sagittal C+ delayed
There is a large mass on the left splaying the ICA and ECA. It demonstrates homogenous enhancement consistent with a carotid body tumor.
From the case:
Carotid body tumor with lung metastases
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Axial T1
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.
From the case:
Carotid body tumor with lung metastases
Frontal
Multiple lung nodules suspicious for metastases. For CT chest.
From the case:
Carotid body tumor with lung metastases
Axial lung window
Multiple pulmonary nodules suspicious for metastases.
Case Discussion
Features are consistent with a carotid body tumor, in this case metastasizing to the lungs.