Sandbox:DDx HEENT: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 5: Line 5:
* Smooth, cystic, and fluctuant neck lump
* Smooth, cystic, and fluctuant neck lump
* Elevates on tongue protrusion
* Elevates on tongue protrusion
* Normal T3, T4, and TSH
* Thin walled, smooth, well defined homogeneously attenuating mass
* Within 2cm of the midlines
* Light rim of enhancement
* Sternocleidomastoid muscle displaced posterolaterally
* Colloid, neutrophils, lymphocytes, macrophages,  and ciliated columnar cells on FNA
* Variable epithelial lining, thyroid follicles, mucous glands, lymphocytic infiltration, granulation tissu, and fibrosis on FNA

Revision as of 23:40, 3 November 2015

  • Childhood
  • Painless, rounded, anterior midline neck swelling
  • May have difficulty breathing or dysphagia
  • Smooth, cystic, and fluctuant neck lump
  • Elevates on tongue protrusion
  • Normal T3, T4, and TSH
  • Thin walled, smooth, well defined homogeneously attenuating mass
  • Within 2cm of the midlines
  • Light rim of enhancement
  • Sternocleidomastoid muscle displaced posterolaterally


  • Colloid, neutrophils, lymphocytes, macrophages, and ciliated columnar cells on FNA
  • Variable epithelial lining, thyroid follicles, mucous glands, lymphocytic infiltration, granulation tissu, and fibrosis on FNA