Abstract Archives of the RSNA, 2014
NRE288
The Spectrum of Cervical Lymphadenopathy: From Mundane to Macabre
Education Exhibits
Presented in 2014
Chinmay Nagesh MBBS, MD, Abstract Co-Author: Nothing to Disclose
Rahul Ganapati Hegde MBBS, MD, Presenter: Nothing to Disclose
Anagha Rajeev Joshi MD, MBBS, Abstract Co-Author: Nothing to Disclose
Hardik Uresh Shah MBBS, MD, Abstract Co-Author: Nothing to Disclose
Bhagya Sannananja MBBS, MD, Abstract Co-Author: Nothing to Disclose
Suleman Adam Merchant MD, Abstract Co-Author: Nothing to Disclose
To review the normal appearance of cervical lymph nodes on CT & MRI with emphasis on morphology and size criteria.
To describe the morphological characteristics and enumerate enhancement patterns in order to reach more specific diagnoses, a spectrum from the usual to rare.
To enumerate patterns of involvement at various levels in the neck with differing pathologies.
To discuss the possible mimics of cervical lymph nodes.
Normal Cervical lymph nodes: appearance, size criteria & lymph node levels
Pathological lymph nodes: Imaging characteristics by aetiology
Infectious : Cervical adenitis, Tuberculosis, HIV related lymphoepithelial lesions.
Auto-immune / Quasimalignant: Castleman's disease, Kikuchi's disease, Kimura's disease.
Neoplastic:
Primary: Head & neck lymphomas
Metastatic: Squamous cell carcinomas of head & neck, Thyroid carcinomas
Mimics of cervical lymphadenopathy:
Carotid body tumor, ectopic thyroid, soft tissue tumors such as hemangiomas, nerve sheath tumors.
Conclusion:
Cervical lymph nodes, as else where in the body, need to be assesed in terms of morphology (including the presence of calcification & necrosis), margins, enhancment characteristics and patterns of involvment by level and laterality.
http://abstract.rsna.org/uploads/2014/14017787/14017787_6nxg.pdf
Nagesh, C,
Hegde, R,
Joshi, A,
Shah, H,
Sannananja, B,
Merchant, S,
The Spectrum of Cervical Lymphadenopathy: From Mundane to Macabre. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14017787.html