Presentation
Left neck pain and swelling.
Patient Data
Age: 20 years
Gender: Male
From the case:
Infected second branchial cleft cyst
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Large cystic lesion at the left submandibular region with the following criteria:
measures 4 x 5 in axial dimensions and 6 cm in CC dimension
low signal on T1, a high signal on T2 and T2 fat suppression sequences
displaces the left submandibular gland anteriorly and sternocleidomastoid muscle posterolaterally
post-contrast sequence reveals thick and irregular wall enhancement of the cyst
Case Discussion
MRI findings are consistent with the infected second branchial cleft cyst.
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