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Bilateral non capsulated extensive subcuatnous fatty deposition at the neck involving anterior, posterior triangles more on RT side and back of the neck. It exends deep to sternomastoid muscles on both sides. Bilateral partotid involvement is also present. No abnormal soft tissue masses within could be seen.
Madelung disease is a benign self limited condition with no definite known etiology, however it is suspected to be associated with high alcohol intake. Typically it consists of non encapsulated extensive subcutaneous fatty deposition at the neck region, infiltrating deeply to the sternocleidomastoid and trapezius muscles and salivary glands.