Cervical cystic lymphangioma

Case contributed by Shervin Sharifkashani
Diagnosis almost certain

Presentation

Slowly progressive painless soft tissue swelling in the left upper neck for five months.

Patient Data

Age: 35 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Large and relatively ill-defined cystic multilocular mass-like lesion containing intermediate density fluid within submandibular gland expanded the gland and largely extended within left side sublingual space and prestyloid parapharyngeal space is seen. The lesion has no obvious enhancement and no solid part. Extension of the lesion within the mylohyoid muscle and anterior belly of the digastric muscle is also noted.

Case Discussion

This is a rare case of the chylous aspiration-proved submandibular gland and sublingual space cystic lymphangioma occurring in an adult female extended within prestyloid parapharyngeal space.

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