2nd branchial cleft cyst

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Right-sided painless neck swelling.

Patient Data

Age: 30 years
Gender: Male
Ultrasound

Neck

A well defined rather ovoid cystic lesion is seen at the right retromandibular space. It lies between and undercover of the corresponding SCM and the great neck vessels. It has no mural thickening, septae or soft tissue component. 

CT

Neck

A well defined ovoid cystic lesion with clear internal content and the thin enhancing wall is seen at the right retromandibular region. It lies between the anterior aspect of the sternocleidomastoid muscle and cervical great vessels.

Case Discussion

The US and CT findings are compatible with 2nd branchial cleft cyst which is by far the most common type of this branchial anomaly.  

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Case information

rID: 71715
Published: 18th Oct 2019
Last edited: 19th Oct 2019
System: Head & Neck
Inclusion in quiz mode: Included

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