ANAMNESIS / SYMPTOMS:
A 75 year old patient complains about an acutely occurred swelling in the area of the left submandibular space. She shows a mild fever. She reports about pain while ingesting food and a beginning lockjaw since the day before.



FINDINGS
:
The left submandibular gland is clearly hypoechoic changed and alltogether of inhomogenous echogenity with hypoechoic areas and hyperechoic shares. A weak distal echo amplification is discernible. Running along the floor of the mouth and caudal of the tongue a hypoechoic band is visible that reaches the mental region with its ventral ending. In the hypoechoic band hyperechoic reflections with a slight distal signal enhancement are visible. The hypoechoic band is located cranial of the mylohyoid muscle.


DIAGNOSIS:
The patient has an acute sialadenitis with multiple sialoliths as the underlying disease.


DIFFERENTIAL DIAGNOSIS:
Purulent sialadenitis of undetermined origin



Informations on the internet:

1) Amersham Health
2) Medecoinfo
3) AHC-Consilium