Presentation
Right angle of mandible region swelling for the last 15 yrs. Local pain for a week now.
Patient Data
Age: 70 years
Gender: Male
From the case:
Epidermal inclusion cyst - neck
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Well-defined ovoid lesion is seen in region of interest.
Size - 50 x 50 x 35 mm
Location - Subcutenous plane.
- Seperate from mabdible - muscle.
- Seperate from superfiicial lobe of parotid gland and submabdibular gland.
Morphology: Hypoechoic, with few linear internal strands, no calcification, posterior acoustic enhancement is present ant it`s partly compressible.
Wall:
- Thin well-defined wall is noted surrounding most of lesion.
- About 20 mm defect is noted on medial aspect .
- Out side defect fluid echoes and lesion material is noted - 25 x 25 mm
Doppler: Perilesional flow is noted at site of leak. No perilesional flow is noted where wall is intact. No Flow in the lesion.
Case Discussion
Leak from cyst causing local inflammation and pain.
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