SONOWORLD : Parotid abscess with reactive lymphadenitis
 
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Parotid abscess with reactive lymphadenitis
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Author(s) :
Shlomo Gobi
 
Presentation This is the scan in a young kid with fever and a painful swelling of the right side of the face. She was treated with a 5-day- course of oral antibiotics; however there was minimal clinical improvement. There was palpable lymphadenopathy.
 
 
 
Caption: Scan of the parotid gland
Description: The parotid gland shows the presence of a hypoechoic lesion. The lesion is relatively avascular and shows minimal posterior enhancement.
 
 
 
Caption: Gray scale and color Doppler images of a palpable lymph node in the neck
Description: This lymph node situated in the anterior triangle of the neck appears enlarged, hypoechoic and shows increased vascularity- features suggestive of inflammation.
 
 
 
Caption: Gray and color Doppler images of another lymph node in the neck
Description: Multiple lymph nodes were noted in the neck as demonstrated. Most of the lymph nodes demonstrated increased vascularity, suggestive of inflammation.
 
Differential Diagnosis Parotid abscess with reactive lymphadenitis
 
Final Diagnosis Parotid abscess with reactive lymphadenitis
 
Follow Up A CT scan was performed which confirmed the ultrasound findings of a right parotid abscess and reactive lymphadenitis. The abscess was surgically drained.
 
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