Presentation
Right anterior neck lump for the last few days.
Patient Data
At the site of the clinically visible nodule, there is a collection (30 x 20 x 18 mm - 6 cc) with internal echoes with surrounding soft tissue edema. The abscess shows extension in the overlying clavicular head of the right sternocleidomastoid muscle through a tiny communication in the posterior surface of the muscle. Few local smaller non-necrotic lymph nodes are present. Patent internal jugular vein and carotid artery.
The short-axis cine-loop runs from the cranial to the caudal direction.
Case Discussion
The patient presented with a right-sided neck nodule without significant pain/ fever. The ultrasound shows an abscess due to necrotic lymphadenopathy. The abscess shows extension in the clavicular head of the sternocleidomastoid muscle.
Biopsy revealed tuberculous etiology.
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