submandibular salivary gland stone

Doctor's Information

Name : Morteza
Family : Sanei Taheri
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Damoon Ghazanfri Amlashi

Patient's Information

Gender : Female
Age : 22

Case Section

Head & Neck Imaging

Clinical Summary

A 22-year-old woman with a painfull mass in the left submandibular region

Images

Imaging Procedures and Findings

Lateral neck radiography: two stones in the submandibular region CT scan of neck and skull base with IV contrast: bilateral submandibular salivary gland stone, phlegmone changes in the left submandibular salivary gland

Discussion

Calculous disease is the most common cause of salivary inflammatory lesions, especially in the submandibular space, owing to the upward secretion of the more mucinous, viscous, and alkaline saliva. Patients with calculous disease have painful glands, and calculous disease is often associated with fever. Cross-sectional imaging should be performed. CT imaging is preferred to MRl for identifying calculi, but MRI can also be applied to image mandibular infection (osteomyelitis) and to differentiate between cellulitis/myositis and drainable pus, for which the term abscess is more appropriate. In cases of CT imaging, a precontrast scan is not essential, the images should also be reviewed in bone algorithm, and thin multiplanar reconstructions are necessary.