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Clinical Problem Solving: Radiology
June 2002

Radiology Quiz Case

Author Affiliations
 

R. NICKBRYANMDS. JAMESZINREICHMD

Arch Otolaryngol Head Neck Surg. 2002;128(6):723. doi:10.1001/archotol.128.6.723

A 31-YEAR-OLD man with no significant medical history presented with a 1-year history of a progressively enlarging, nontender, submandibular mass on the right side. He reported only that it was difficult for him to speak clearly. On physical examination, a 10-cm soft, nontender mass of lipomatous consistency was palpable at the level of the right submandibular gland. The tongue was slightly displaced to the left. No lymphadenopathy was palpable in the head and neck.

Magnetic resonance imaging (MRI) of the head and neck revealed a 10-cm heterogeneous mass with multiple spherical nodules (Figure 1, Figure 2, and Figure 3).

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