CASE HISTORY / CLINIC:
55-year-old patient with a known history of hypopharyngeal squamous cell carcinoma.



FINDING:
The post contrast CT image shows a large hyperdense mass below the left sternocleidomastoid
with typical central necrolysis. Another mass 2 cm in diameter showing no signs of central necrolysis is also demonstrated behind the large vessels on the other side. A small right-sided submandibular mass without central necrolysis is also demonstrated.
The coronal image (lower picture) clearly demonstrates the cranio-caudal spread of these masses on both sides of the parapharyngeal space.


DIAGNOSIS:
Metastases of a squamous cell carcinoma on both sides


DIFFERENTIAL DIAGNOSIS:
Other lymph node metastases




Web resources:

1) Medecoinfo
2) Roche Lexikon Medizin


 






FINDINGS


DIAGNOSIS

DIFFERENTIAL DIAGNOSIS