Gradual swelling and tenderness at right side of face
Neck MRI with and without contrast
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There is large multicystic and multiseptated mass involving the deep and superficial lobes of right parotid gland which widened stylomandibular foramen. Evidence of blood-fluid level in few cysts and also few foci of calcification.
After contrast injection, septal enhancement is noted. Overlying skin has normal thickness without inflammatory changes. No sign of right carotid artery encasement or compression effect on parapharyngeal space. These findings are in keeping with parotid space lymphangioma.
Cystic lymphangioma is a benign lesion consisting of multiple lymphatic spaces. Lymphangiomas are benign lymphatic malformation most frequently observed in pediatric age group 1.
The head and neck are the most common locations for lymphangiomas to occur. Other less common sites are the axilla, shoulder, chest and abdominal wall 2.
- 1. Kennedy TL, Whitaker M, Pellitteri P, Wood WE. Cystic hygroma/lymphangioma: a rational approach to management. (2001) The Laryngoscope. 111 (11 Pt 1): 1929-37. doi:10.1097/00005537-200111000-00011 - Pubmed
- 2. Cervical lymphangioma in adult. Kandakure VT, Thakur GV, Thote AR, Kausar AJ. Int J Otorhinolaryngol Clin. 2012;4:147–150.