Vagal schwannoma

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Difficulty in swallowing of one-year duration.

Patient Data

Age: 45 years
Gender: Female
ct
This study is a stack
Axial with
contrast
This study is a stack
Coronal
reconstruction
This study is a stack
Sagittal
reconstruction
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Info

The CT images demonstrate a well-defined ovoid moderately enhancing soft tissue mass (4.2 x 3.7cm) within the left parapharyngeal space, compressing the oropharyngeal airway, and displacing the carotid vessels posterolaterally.

mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial T1
fat sat
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Coronal
T2
This study is a stack
Coronal T1
C+ fat sat
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Info

The previously described soft tissue mass appears well-encapsulated of intermediate signal intensity on T1WI, heterogeneous high signal on T2WI with moderate and heterogeneous enhancement following IV contrast.

Case Discussion

CT and MRI features are suggestive of a vagal schwannoma.

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