Presentation
Small persistent palpable nodule in the right side of the lower neck.
Patient Data
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1.4 cm well defined lesion with mild high T1, hyperintense T2 signal which is homogeneously avidly enhancing at the root of the right side of the neck.
The lesion has a 'dumbbell' appearance and can be traced along a thickened cervical nerve root back to the exit foramen, confirming it is neuronal in origin.
Case Discussion
Schwannomas are benign nerve sheath-based tumors. Several sites in the body are most recognized, such as vestibular schwannomas at the cerebellopontine angle.
This is a less common site and mimicked a cervical lymph node. The MRI characteristics are identical regardless of location.