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Metastatic cervical lymphadenopathy

Case contributed by Maulik S Patel
Diagnosis probable

Presentation

Right sided neck swelling noticed for last 2-3 weeks. Alcoholic.

Patient Data

Age: 45 years
Gender: Male
ultrasound

There is a well-defined solid mass lesion in right anterior triangle above level of carotid bifurcation.

Cranially, lesion abuts the parotid gland. Medially, it abuts the submandibular gland and external carotid artery. Internal carotid artery is posterior to lesion.

Lesion size: 52 x 32 x 24 mm.

Lesion is hypoechoic with few tiny echogenic foci: ? calcification. There are no cystic spaces within. Lesion shows vascularity.

Rest of the neck examination was normal.

Case Discussion

Findings favor metastatic cervical lymphadenopathy. CT scan done later showed a growth at the base of tongue.

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