Presentation
Car accident. CTA to exclude blunt cerebrovascular injury.
Patient Data
Age: 25 years
Gender: Male
From the case:
Small carotid body tumor
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Axial C+ arterial phase
Small 8 mm hyperdense round focus just above the right carotid bifurcation sitting between the ECA and ICA. This does not communicate with the artery and therefore does not represent a traumatic pseudoaneurysm. It is favored to represent a small incidental carotid body tumor (paraganglioma).
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Axial fused
Dotatate PET/CT confirms an avid neuroendocrine tumor at the right carotid bifurcation in keeping with paraganglioma.
Case Discussion
A small incidental carotid body tumor found on CTA in the setting of trauma with confirmation with Dotatate PET.