Obstructed parotid duct: MR sialogram

Case contributed by Dr Chris O'Donnell

Presentation

Long standing left facial pain, worse with eating meals

Patient Data

Age: 35
Gender: Male
Modality: MRI

Dilated left parotid duct from the gland extending up to the left cheek where there is a tapered narrowing. Note the asymmetry when compared with the right (arrows). Note also the dilated accessory duct entering the main duct (best seen on the sagittal imaging)

Modality: Ultrasound

US confirms the MRI findings and shows minor increase in vascularity in the gland parenchyma.  No intra-luminal calculus at the distal end of the duct in the cheek.

Case Discussion

Catheter sialography is fiddly and uncomfortable for the patient.  MR sialography is a useful alternative especially if the ducts are dilated

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Case Information

rID: 48887
Case created: 28th Oct 2016
Last edited: 29th Oct 2016
System: Head & Neck
Inclusion in quiz mode: Excluded

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