Pleomorphic adenoma

Case contributed by Frank Gaillard
Diagnosis almost certain

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines

mri
Axial T2
fat sat
Axial
T1
Axial T1
C+ fat sat
Coronal
T1
Coronal
T1 C+
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Info

MRI through the left parotid gland demonstrates a sharply circumscribed solid mass in the superficial aspect of the gland. It is isointense to muscle on T1 and strikingly hyperintense on T2. Following contrast administration, it enhances uniformly (note the chemical shift artifact at the margins of the lesion due to the interface between the mass and the intra-parotid fat).

Case Discussion

Features are characteristic of a pleomorphic adenoma which was subsequently excised and confirmed histologically.

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