Second branchial cleft cyst

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Painful neck swelling.

Patient Data

Age: 55 years
Gender: Female
CT

A 55×38mm thick-walled cystic lesion with few internal septations are seen at left upper neck space, lateral to the carotid sheath and deep to the sternocleidomastoid muscle.
Mild degenerative changes as osteophytosis are seen at the cervical spine.

Case Discussion

Features are most consistent with infected second branchial cleft cyst

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