CASE HISTORY / CLINIC:
Patient with painless, distinctly palpable swelling in the left parotid gland for many years. The swelling almost spans the entire gland. The mass is mobile. The facial nerve is not affected.



FINDINGS:
Demonstration of a septated, well defined mass that appears hypodense in the T2 image (left upper image). The mass also appears septated and hyperdense in the T1 sequence (right upper image). The mass appears highly hyperdense and well defined in the post-contrast T1-weighted axial and coronal
images (both images on the right). The septations are no more clearly visible.


DIAGNOSIS:
Warthin's tumor (papillary cystadenoma lymphomatosum)


DIFFERENTIAL DIAGNOSIS:
Other benign tumors of the parotid gland, the pleomorphic adenoma in particular.



Web resources:

1) Amersham Health
2) Roche Lexikon Medizin


 





FINDINGS


DIAGNOSIS

DIFFERENTIAL DIAGNOSIS