Left submandibular sialolithiasis

Case contributed by Hoe Han Guan
Diagnosis almost certain

Presentation

Left submandibular swelling for 2 months and painless.

Patient Data

Age: 60 years
Gender: Male

A large calcified lesion noted within the left submandibular gland, measuring 1.6x2.3x2.1cm (APxWxCC). It has attenuation number of 1400HU.

The left submandibular gland appears to be smaller in size relative to the right counterpart. No surrounding tissue and fat stranding to suggest on going inflammatory process.

No appreciable enlarged left submandibular duct.

No calcification seen within the right submandibular and bilateral parotid salivary glands.

A few subcentimeter submandibular lymph nodes. No abscess formation.

Case Discussion

Left submandibular sialolithiasis. No CT evidence of sialadenitis.

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