Sandbox:DDx HEENT: Difference between revisions

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* Childhood
* Soft, painless, compressible, dough-like neck mass
* Painless, rounded, anterior midline neck swelling
* Transilluminate
* May have difficulty breathing or dysphagia
* Mass enlarge with URI
* May have dysphagia and difficulty breathing  


* Smooth, cystic, and fluctuant neck lump
* No specific lab findings
* Elevates on tongue protrusion


* Normal T3, T4, and TSH
* Thin-walled channels lined by endothelium
* Eosinophilic intraluminal material
* Clusters of intraluminal lymphocytes
* Occasional presence of RBCs


* Thin walled, smooth, well defined homogeneously attenuating mass
* Multiloculated cysts
* 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, colloid, heavy lymphocytic infiltration, granulation tissue, and fibrosis on FNA

Revision as of 00:04, 4 November 2015

  • Soft, painless, compressible, dough-like neck mass
  • Transilluminate
  • Mass enlarge with URI
  • May have dysphagia and difficulty breathing
  • No specific lab findings
  • Thin-walled channels lined by endothelium
  • Eosinophilic intraluminal material
  • Clusters of intraluminal lymphocytes
  • Occasional presence of RBCs
  • Multiloculated cysts
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