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Radiology Quiz Case 1Diagnosis
Arch Otolaryngol Head Neck Surg. 2005;131:182-183.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Diagnosis: Benign parotid cyst with associated facial paralysis
The differential diagnosis of the cystic lesion as seen on the T2-weighted gradient echo image included a simple salivary cyst, branchial cleft cyst, lymphoepithelial cyst, and parotid abscess. T2-weighted images often demonstrate differences in intensity on the outer borders of abscesses and branchial cleft cysts, suggestive of tissue thickening. Lymphoepithelial cysts are often associated with human immunodeficiency virus infection. The homogeneous character of the cystic lesion in the present case suggested a simple salivary cyst. Other noncystic lesions that present as hyperintense lesions on T2-weighted images were not considered because the lesion in this case was thought to be a cyst after clear fluid was aspirated from it.
Benign parotid cystic salivary lesions are notable for their relatively low incidence, yet the list of differential diagnoses for such lesions is long and must be considered in its entirety by the physician. The parotid gland is the most common site of . . . [Full Text of this Article]
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Radiology Quiz Case 1
Thomas M. Pilkington, James Zinreich, and Joseph A. Califano
Arch Otolaryngol Head Neck Surg. 2005;131(2):178.
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