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Case of the Week 388 
What is the most likely diagnosis?
- 31 year old with painless, palpable mass in the neck
Axial T1 and T2-weighted scans of the neck
- Parotitis
- Branchial cleft cyst
- Parotid gland hemangioma
- Thyroglossal duct cyst
- Abscess
Additional Image - Sagittal contrast-enhanced MRI images
Additional Images
Sagittal contrast-enhanced MRI images
Answer:
.
2. Second Branchial Cleft Cyst
.
.
More (Click Discussion Tab)
Second Branchial Cleft Cyst
General Considerations
- Cystic dilatation of second branchial apparatus
- 95% of all branchial cleft anomalies arise from second cleft of which 75% are cysts
- Other anomalies include fistulas or sinuses or combinations of these
.
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is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
