Right side neck swelling, had ultrasound that showed a 4.5 cm solid-cyst mass deep to the right sternocleidomastoid muscle. Necrotic lymph node? Abscess?
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There is a multilobulated predominantly hypo attenuated mass extending under the right sternocleidomastoid muscle, from the posterior cervical space to the submandibular space anteriorly, involving the regions of the IIB and III lymph nodes levels, displacing the structures of the carotid and pharyngeal spaces medially and the right submandibular salivary gland anteriorly. This mass measures approximately 6.8 x 4.8 x 5.2 cm (longitudinal x anteroposterior x transverse) and demonstrates a vivid peripheral contrast enhancement. Extensive involvement of the prevertebral space from C1 to C7.
Some prominent lymph nodes with normal morphology are present bilaterally. Bilateral
There remainder cervical structures are unremarkable.
No bony suspicious lesions.