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Thyroid/parathyroid » General
Acute parotitis in a child
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Presentation A 3-year-old girl presented with a very painful swollen right side of her face and neck and fever. This was the first episode. An ultrasound was performed.
Caption: Comparative images of both the parotid glands
Description: The right parotid gland appears enlarged, relatively hypoechoic as compared to the left and demonstrates a heterogeneous echotexture. The normal left parotid gland in contrast shows a homogeneous echotexture.
Caption: Transverse view of the right parotid
Description: The enlarged and heterogeneous right parotid gland is noted again. Few rounded and enlarged hypoechoic intra-parotid lymph nodes are also visualized. There is no evidence of any intra-ductal calculi or ductal dilatation.
Caption: Comparative color Doppler view of both the sides
Description: The abnormal enlarged right parotid exhibits increased vascularity versus the asymptomatic left gland which exhibits normal vascularity.
Differential Diagnosis
Acute parotitis
Final Diagnosis Acute parotitis
Follow Up The patient improved very nicely with antibiotic treatment.
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