Tuberculous cervical lymphadenitis

Case contributed by Dr Maulik S Patel

Presentation

RIght anterior triangle neck swelling - 2 wks. Mild pain. No fever.

Patient Data

Age: 19 yrs
Gender: Male
Ultrasound

Irregular well-defined area about 45 x 36 x 15 mm is noted  in lower part of right anterior triangle of neck. Lesion involves lateral part of clavicular head of sternocleidomastoid muslce. Floating echoes are noted in the lesion. No intralesional vascularity is noted. Perilesional vascularity is high. No erosion of clavicle is noted.

 No thrombosis of right internal jugular vein or subclavian vein.

 Few hypoechoic round / ovoid nodes ( upto 1 cm ) with loss of hilar fat are noted at right level III, IV and V.

2 - 3 ovoid hypoechoic nodes with calcificaiton are noted at right level III.

Nodes with loss of hilar fat are noted at LEFT level IV and VI. 


Case Discussion

I & D - Right anterior triangle abscess.

Histopathology - Tuberculosis.

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Case information

rID: 19137
Case created: 10th Aug 2012
Last edited: 18th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

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