Madelung disease

Case contributed by Dr Dean Topham

Presentation

Bilateral neck swelling in the setting of alcohol abuse.

Patient Data

Age: 60 years
Gender: Male
CT

Post contrast neck CT

There is extensive fat deposition in the deep spaces of the neck with extensive adipose tissue seen in the parapharyngeal, retropharyngeal, parotid and perivertebral spaces. Both parotids are displaced anteriorly by the non-encapsulated fatty masses.  No intraparotid lesion is seen. No cervical lymphadenopathy. Within the limits of CT, no significant epidural lipomatosis seen.

Bilateral loculated pleural effuions are noted posteriorly in the upper lobes.

Case Discussion

This patient had a strong history of alcohol abuse with Child-Pugh B cirrhosis.  Alcohol abuse is a known association of this rare entity.

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Case information

rID: 53920
Case created: 14th Jun 2017
Last edited: 22nd Jul 2017
Inclusion in quiz mode: Excluded

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