ANAMNESIS / SYMPTOMS:
A 32 year old patient reports about a some years ago occured tumescence in the left submandibular region. On palpation a soft and displaceable knot can be felt.


FINDINGS:
On a longitudinal as well as on a transversal plane is in the parenchyma of the submandibular gland a well definable, hypoechoic tumour with some strong echo-reflecting shares and distal signal enhancement visible. The hypoechoic structure has its borders clearly within the parenchyma of the gland. The mylohyoid muscle and the base of the tongue as well as the lower jaw bone are visualized and clearly differentiable from the tumour.


DIAGNOSIS:
The patient is suspected of having a pleomorphic adenoma of the left submandibular gland with calcified shares.