Nuchal cystic lymphangioma

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Painless swelling of the right cervical region, progressively increasing in size with no fever. Laboratory investigations were normal.

Patient Data

Age: 7 years
Gender: Female
mri

There is a right multilocular cervical mass with internal septa, centred on the posterior cervical triangle with extension to the carotid and parotid spaces. it is of low signal with a component of high signal (protein content) on T1WI, high signal on T2WI. The postcontrast sequences show a peripheral rim enhancement of the component within the parotid space.

Case Discussion

MRI features suggestive of a nuchal cystic lymphangioma, also known as cystic hygroma.

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