Demographics:
46 years old, Female
Indication:
Facial swelling
Findings
- Hyperenhancement and enlargement of the right submandibular gland with surrounding fat stranding and ill-defined fluid
- Multiple small sialoliths (stone 1, stone 2) in Wharton's duct on the right, which is dilated
- Swelling in the right submandibular space exerts mild mass effect on the oropharyngeal airway, which remains patent
- No soft tissue abscess, retropharyngeal edema, or venous thrombosis
- Periapical lucency involving the right mandibular second molar without subperiosteal abscess
- Reactive lymphadenopathy without suppurative changes
Diagnosis
Right submandibular sialadenitis with sialolithiasis
Sample Report
Enlarged, hyperenhancing right submandibular gland with surrounding fat stranding, consistent with acute sialadenitis. Multiple small sialoliths are noted in Wharton's duct, which is dilated. Recommend ENT consultation.
Edema in the submandibular space exerts mild mass effect on the oropharyngeal airway, which remains patent. No soft tissue abscess, retropharyngeal edema or venous thrombosis.
Carious right second mandibular molar with periapical lucency but no subperiosteal abscess.
Reactive enlargement of multiple cervical and submandibular lymph nodes without suppurative changes.
Discussion