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Radiology Quiz Case 1

Radiology Quiz Case 1 A 30-year-old man was referred to our clinic with a 3-month history of swelling in the midline of the neck. The size of the swelling was stable and did not change at meal times. The patient's clinical history suggested that he was mostly fit and healthy, without any previous medical problems or head and neck trauma. Clinical examination revealed that there was an ill-defined, soft, nontender swelling over the submental region. None of the cervical lymph nodes were palpable. Computed tomography revealed a 1.8-cm cystlike lesion lying above the hyoid bone at the midline of the floor of the mouth (Figure 1and Figure 2). Figure 1. View LargeDownload Figure 2. View LargeDownload A Sistrunk operation was performed after informed consent was obtained from the patient. The cyst had 2 components and was located posterosuperiorly to the hyoid bone. The smaller superficial component was in contact with the posterior surface of the hyoid body and communicated with the deeper component via a track between the 2 bundles of genioglossus muscle. The cyst contained clear, yellowish mucus without an obvious capsule. The lesion was excised together with a part of the hyoid bone and surrounding muscular tissue. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Radiology Quiz Case 1

Abstract

A 30-year-old man was referred to our clinic with a 3-month history of swelling in the midline of the neck. The size of the swelling was stable and did not change at meal times. The patient's clinical history suggested that he was mostly fit and healthy, without any previous medical problems or head and neck trauma. Clinical examination revealed that there was an ill-defined, soft, nontender swelling over the submental region. None of the cervical lymph nodes were palpable. Computed...
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Publisher
American Medical Association
Copyright
Copyright © 2011 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archoto.2011.40-a
Publisher site
See Article on Publisher Site

Abstract

A 30-year-old man was referred to our clinic with a 3-month history of swelling in the midline of the neck. The size of the swelling was stable and did not change at meal times. The patient's clinical history suggested that he was mostly fit and healthy, without any previous medical problems or head and neck trauma. Clinical examination revealed that there was an ill-defined, soft, nontender swelling over the submental region. None of the cervical lymph nodes were palpable. Computed tomography revealed a 1.8-cm cystlike lesion lying above the hyoid bone at the midline of the floor of the mouth (Figure 1and Figure 2). Figure 1. View LargeDownload Figure 2. View LargeDownload A Sistrunk operation was performed after informed consent was obtained from the patient. The cyst had 2 components and was located posterosuperiorly to the hyoid bone. The smaller superficial component was in contact with the posterior surface of the hyoid body and communicated with the deeper component via a track between the 2 bundles of genioglossus muscle. The cyst contained clear, yellowish mucus without an obvious capsule. The lesion was excised together with a part of the hyoid bone and surrounding muscular tissue. What is your diagnosis?

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Apr 18, 2011

Keywords: diagnostic radiologic examination,radiology specialty

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