ANAMNESIS / SYMPTOMS:
A 69 year old patient shows a swelling in the left submandibular region that occurred 6 months ago and is not tender. The submandibular gland is hard when palpated and is displaceable.



FINDINGS
:
In the parenchyma of the left submandibular gland a well definable and regularly bordered hypoechoic structure with distal signal enhancement is visible. It has an extent of about 3 x 3 cm. The base of the tongue, the lower jaw bone and the muscles of the oral diaphragm that border on the gland are not infiltrated.


DIAGNOSIS:
The patient has an adenoma of the left submandibular gland.