Misc Neck Masses and Lymph Nodes

Question 1

What type of congenital duct cyst is found before the age of 10?

Answer 1

Thyroglossal Duct Cyst

Question 2

What are the sonographic appearances of a thyroglossal duct cyst? (3)

Answer 2

midline cystic structure, anechoic or complex (infected), typically less than 3cm

Question 3

What is the most common type of Branchial Cleft Cyst?

Answer 3

2nd brancial cleft cyst - located along the upper/anterior part of the SCM muscle of adjacent to it

Question 4

What is the most common echogenicity of a Branchial Cleft Cyst?

Answer 4

Anechoic

Question 5

What strong association does a Cystic Hygroma have?

Answer 5

Chromosomal abnormalities

Question 6

What is the most common cause of deep neck space infections in children?

Answer 6

Tonsillitis

Question 7

What is the most common cause of deep neck space infections in adults?

Answer 7

Dental work

Question 8

What are the most common spaces for abscess?

Answer 8

Submandibular, retropharyngeal, and parapharyngeal

Question 9

What are the sonographic appearances of normal lymph nodes?

SHHOE

Answer 9

Size, hypoechoic, hilar vascularity, oval, echogenic (fatty) hilum

Question 10

What does Lympadenopathy look like? It’s RHACI

Answer 10

Round, hypoechoic, absence of fatty hilum, cystic necrosis within, increasing size
(mixed/chaotic vascularity)

Question 11

What is common in nodes when they are mets from papillary thyroid cancer?

Answer 11

Calcifications, and appearing hyperechoic