Submandibular sialadenitis

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

Right upper neck painful swelling

Patient Data

Age: 40 years
Gender: Male
ct

Asymmetric enlargement of the right submandibular gland associated with surrounding fat stranding, edema, and multiple enlarged reactive submandibular and jugular chain lymph nodes. No detected submandibular duct dilatation or stone.

ultrasound

Asymmetric enlargement of the right submandibular gland showing increased internal vascularity on Doppler scan. There are associated surrounding inflammatory changes in the form of increased echogenicity of the surrounding tissues, minimal edema of the overlying skin, and multiple enlarged reactive submandibular and cervical lymph nodes. No detected submandibular duct dilatation.

Case Discussion

Findings are in keeping with submandibular sialadenitis.

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