Presentation
Right neck swelling.
Patient Data
Age: 55 years
Gender: Female
From the case:
Branchial cleft cyst
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/108802/annotated_viewer_json?lang=us"}
There is a 30 x 35 mm well-circumscribed thick-walled cystic mass lesion lateral to the carotid sheath and deep to the sternocleidomastoid muscle.
Few hypodense thyroid nodules are seen
Hypodence thyroid nodule with calcified focus at thyroid isthmus.
Case Discussion
The imaging features suggest a complicated 2nd branchial cleft cyst as the probable diagnosis, but an enlarged lymph node with necrotic changes is also possible regarding the CT imaging features.
The patient with low socioeconomic status did not adhere to the prescribed treatment plan or follow up with recommended imaging studies.
Unable to process the form. Check for errors and try again.