Cystic hygroma

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Left sided neck swelling.

Patient Data

Age: 3 years
Gender: Male
MRI

MRI neck

A cystic lesion is noted in the left posterior cervical space, deep to the sternomastoid, and measuring 4 x 4 x 6 cm. It shows fine internal septations, and water-like signal in all pulse sequences. One of the locules (inferior) shows high T1 signal suggestive of proteinaceous or hemorrhagic content. No post Gadolinium enhancement. No cervical lymphadenopathies. The other neck spaces are unremarkable.

Case Discussion

Cystic hygroma / lymphangioma is a type of lymphatic malformations that appears as an insinuating multiloculated cystic mass at superficial and deep neck spaces (transpatial). Being infrahyoid, a posterior location is more common. It can show fluid/fluid levels. High T1 fluid content reflects hemorrhagic or proteinaceous nature.

PlayAdd to Share

Case information

rID: 54393
Case created: 7th Jul 2017
Last edited: 18th Jul 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.