CASE HISTORY / CLINIC:
55-year-old patient with a very painful swelling in the floor of the left side of the mouth and submandibular region for three days now. A yellowish secretion is discharged from the sublingual papilla when gland is massaged. Pronounced trismus.


FINDINGS
:
The post contrast T1-weighted axial image (upper picture) depicts a considerable enlargement, poor circumscription and hyperdensity of the right submandibular gland. The excretory ducts partially enhance poorly.
The post-contrast T1-weighted images also excently demonstrate the enlargement and enhancement of the right submandibular gland (lower picture). Inflammatory changes of the neighboring structures are also seen in this image.


DIAGNOSIS:
Sialadenitis


DIFFERENTIAL DIAGNOSIS:
Sialolithiasis.
Mass lesion in the submandibular gland




Web resources:

1) Amersham Health
2) Medecoinfo


 






FINDINGS


DIAGNOSIS

DIFFERENTIAL DIAGNOSIS