Lymphangioma

Case contributed by RMH Report Writing

Presentation

Neck mass.

Patient Data

Age: 25-year-old
Gender: Female
MRI

MRI neck (infrahyoid)

A multiloculated largely cystic appearing lesion is seen in the right neck, trans-spatial in nature with components in the supraclavicular region and posterior triangle. Overall dimensions are approximately 4.3 x 4.3 x 5.4 cm. Most of the components are simple cystic in nature with thin septation. Smaller multilobulated components are seen more posteriorly with linear internal enhancement of septations-this may represent hemangiomatous/venous element. A further septated component is seen extending posterior to the left carotid space into the prevertebral region and extending into the right superior mediastinum. The trunks and divisions of the right brachial plexus are displaced posteriorly and inferiorly.

Conclusion: Findings compatible with a lymphangioma with possible small venous element posteriorly.

Case Discussion

Most lymphangiomas occur in the head and neck.

They are also seen on the liver, spleen, kidneys and retroperitoneum.

They are benign vascular lesions of lymph.

MRI imaging is typical with lesions isointense on T1, high signal on T2, with no contrast enhancement.

Transpatial involvement is common.

PlayAdd to Share

Case information

rID: 37668
Case created: 17th Jun 2015
Last edited: 12th Nov 2016
Tag: rmh
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.