Presentation
Work-up of incidental finding.
Patient Data
Hypoechoic mass at the carotid bifurcation, splaying the internal and external carotid arteries.
Mass at the right carotid bifurcation, splaying the internal and external carotid arteries. The mass is intermediate T1 and T2 signal with no fat suppression. Heterogeneous "salt and pepper" signal on the T2FS sequences. Vivid arterial phase contrast enhancement.
Case Discussion
The patient subsequently went no to curative resection, with a paraganglioma demonstrated on histology. Subsequent genetic testing revealed the patient to be a SDHD mutation carrier although has not any further tumors elsewhere on screening.