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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Practice Cases
Worklist 1
11 topics, 31 min.
Practice Cases
Worklist 2
11 topics, 39 min.
Practice Cases
Worklist 3
11 topics, 42 min.
Practice Cases
Worklist 4
11 topics, 29 min.
Practice Cases
Worklist 5
11 topics, 21 min.
Practice Cases
Worklist 6
11 topics, 17 min.
Practice Cases
Worklist 7
11 topics, 21 min.
Practice Cases
Worklist 8
11 topics, 18 min.
Practice Cases
Worklist 9
11 topics, 18 min.
Practice Cases
Worklist 10
11 topics, 28 min.
Wk 10, Case 1 - Review
HIDEInteractive Transcript
Report
Patient History
Afebrile 6-year-old male with right cheek mass within intact facial nerve.
Findings
Contrast-enhanced CT was performed from the skull base to the thoracic inlet. Study shows no evidence of aggressive lesions involving the nasopharynx, oral cavity, tongue base, tonsils, larynx or hypopharynx. No evidence of enlarged lymph nodes using standard size criteria.
There is an approximately 1.9 cm x 1.6 cm (axial dimensions) cystic mass involving the right parotid gland. The mass involves the midportion of the right parotid gland and extends superiorly to the junction of the membranous and bony external auditory canal. A component of the mass extends superiorly deep to the pinna and abuts the outer margin of the mastoid air cells. Bone algorithm suggests possible regressive remodeling involving the superolateral bony wall of the external auditory canal. The majority of the mass is intraparotid and involves both the superficial and deep lobe. There is no evidence of extension of the mass to the skin which would suggest a sinus.
Visualized portion of the brain is grossly within normal limits. However, dedicated brain imaging is necessary for complete diagnostic evaluation.
Visualized portion of the lungs is grossly within normal limits. However, dedicated chest CT is necessary for complete diagnostic evaluation.
Conclusions
Approximately 1.9 cm x 1.6 cm cystic mass involving the right parotid gland that extends superiorly and abuts the bony cartilaginous junction of the external auditory canal. In an afebrile patient within intact facial nerve, these findings are most consistent with a type 1 first branchial anomaly.
Case Discussion
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Suresh K Mukherji, MD, FACR, MBA
Clinical Professor, University of Illinois & Rutgers University. Faculty, Michigan State University. Director Head & Neck Radiology, ProScan Imaging
Tags
Neuroradiology
Head and Neck
CT
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