Presentation
Chronic pain in left submandibular region.
Patient Data
Age: 80 years
Gender: Male
From the case:
Chronic submandibular sialadenitis and sialolithiasis
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Two stones in the course of left submandibular duct. The one in left sublingual region measures 0.9 x 0.3 cm. The other in expected location of left submandibular gland measures 1.1 x 0.6 cm.
Atrophy of left submandibular gland is noted.
No discrete mass lesion.
Right submandibular gland is normal.
Bilateral parotid glands are normal.
Subcentimetric bilateral level I and level II lymph nodes.
Note is made for mucoperiosteal thickening of bilateral maxillary, ethmoid and frontal sinuses.
Case Discussion
In absence of any focal mass lesion and with positive submandibular gland atrophy and duct stones the features are diagnostic of chronic sialolithiasis.