Vagal schwannoma

Case contributed by Keshaw Kumar
Diagnosis probable

Presentation

Right neck swelling for 6 months.

Patient Data

Age: 25 years
Gender: Female

CECT Neck

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
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Info

A well-defined oval-shaped soft tissue density lesion in the right upper cervical region below the sternocleidomastoid muscle. The lesion displaces the right internal & external carotid arteries medially and the internal jugular vein laterally. Mild patchy areas of heterogeneous enhancement were seen within the lesion on post-contrast images.

Case Discussion

The imaging findings are suggestive of vagal schwannoma.

The displacement of the internal carotid artery anteromedially and internal jugular vein laterally by the lesion is characteristic of vagal schwannoma.

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