Sjogrens disease

Case contributed by Dr Ian Bickle

Presentation

MRI performed for left cheek lump. Ultrasound appears like a lymph node. Known Sjogrens syndrome.

Patient Data

Age: 50 years
Gender: Female
Modality: MRI

Honeycomb type appearance to both parotid glands with a heterogeneous appearance due to advance fatty deposition in the glands.

The submandibular glands are involved to a lesser extent.

Small morphologically benign lymph node abutting the anterior aspect of the superficial lobe of the left parotid gland.

Case Discussion

This study was performed for an alternative indication.

It does however give a nice example of the advanced fatty replacement that occurs in salivary glands in Sjogren's syndrome.

This was not provided in the initial clinical history, but identified in the notes subsequently.

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Case Information

rID: 50847
Case created: 24th Jan 2017
Last edited: 9th Feb 2017
System: Head & Neck
Inclusion in quiz mode: Included

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