Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will...

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Ultrasound of the Neck Rhodri M Evans

Transcript of Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will...

Page 1: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Ultrasound of the Neck

Rhodri M Evans

Page 2: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Ultrasound.

• Anatomy.

• Rules

• Lumps – cysts and nodes.

• Needles.

Page 3: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Anatomy.

Page 4: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 5: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Anatomy

Key structures

Page 6: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 7: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 8: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 9: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Sublingual Gland

Page 10: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 11: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 12: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 13: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 14: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 15: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 16: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 17: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 18: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 19: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 20: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 21: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 22: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

RMV

ECA

Parotid duct

masseter

Ramus mandible

Page 23: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 24: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

mucosa

buccinatormandible

Facial artery

masseter

Page 25: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 26: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 27: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 28: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 29: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 30: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 31: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 32: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 33: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 34: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 35: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 36: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 37: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 38: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 39: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 40: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 41: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 42: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Thyrohyoid

Ligament

Page 43: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 44: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 45: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 46: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Strap Muscles

Thyroid

cartilage

Paraglottic Fat

Vocal Fold

Page 47: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Strap Muscles

Thyroid

cartilage

Vocal FoldArytenoid

cartilageTrue

Cords

Page 48: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 49: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 50: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Paraglottic Fat

Page 51: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 52: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 53: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Lumps and bumps.

Page 54: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 55: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 56: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 57: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 58: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Rules .

• Cysts look solid.

• Solids can look cystic.

Page 59: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Rules .

• Cysts don’t usually look like cysts.

• Cysts will invariably look solid.

• If a mass looks cystic,it probably won’t be

a cyst.

• Solids can look cystic

Page 60: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 61: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 62: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 63: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 64: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 65: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 66: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 67: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 68: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 69: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 70: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 71: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 72: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Cystic?

Page 73: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Pseudo-cystic?

Page 74: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Pseudo-cystic?

• Lymphoma.

• Pleomorphic adenoma.

• Nerve sheath tumour.

• Parathyroid adenoma.

Page 75: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 76: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 77: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 78: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Normal lymph nodes.

Page 79: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Normal lymph nodes.

Page 80: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Normal lymph nodes.

Page 81: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Normal lymph nodes.

Page 82: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Lymphoma?

Page 83: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Lymphoma

Page 84: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Metastatic lymph nodes

Page 85: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Malignant lymph nodes.

Page 86: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Metastatic lymph nodes

Page 87: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Metastatic lymph nodes

Page 88: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Metastatic lymph nodes

Page 89: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Normal lymph nodes.

Page 90: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Normal lymph nodes.

Page 91: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Malignant lymph nodes.

Page 92: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Malignant lymph nodes.

Page 93: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Malignant lymph nodes.

Page 94: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Malignant lymph nodes.

Page 95: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

? Lymphoma

Page 96: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

? Lymphoma

Page 97: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

? Lymphoma

Page 98: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 99: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 100: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 101: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 102: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 103: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 104: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 105: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 106: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 107: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 108: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 109: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 110: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 111: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 112: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 113: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 114: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 115: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 116: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 117: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 118: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 119: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 120: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 121: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 122: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 123: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 124: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 125: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Pseudo-cystic?

• Lymphoma.

• Pleomorphic adenoma.

• Nerve sheath tumour.

• Parathyroid adenoma.

Page 126: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Rules .

• Cysts don’t usually look like cysts.

• Cysts will invariably look solid.

• If a mass looks cystic,it probably won’t be

a cyst.

• Solids can look cystic

Page 127: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 128: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 129: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 130: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 131: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 132: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 133: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 134: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 135: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 136: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 137: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 138: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 139: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Cystic mass – upper cervical.

• Second Branchial cleft cyst.

• Metastatic lymph node : S.C.C.

• Metastatic lymph node : Papillary

Carcinoma Thyroid .

Page 140: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 141: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 142: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Cysts.

• Location location.

• Anatomy.

Page 143: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 144: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 145: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 146: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 147: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 148: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 149: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 150: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 151: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 152: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 153: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 154: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 155: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 156: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 157: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 158: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 159: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 160: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 161: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 162: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 163: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 164: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 165: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 166: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 167: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 168: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 169: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 170: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 171: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Anatomy,anatomy,anatomy.

Location,location,location.

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Page 173: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Mylohyoid Defects.

• Defects occur in 67% - cadavers.(RSNA

2004).

• Bilateral in 50%.

• “Mylohyoid boutonniere” & “sublingual

bouton”(Gaughran 1963)

Page 174: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 175: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 176: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 177: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 178: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 179: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 180: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 181: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 182: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 183: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 184: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Abscesses.

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Page 186: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 187: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 188: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 189: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 190: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 191: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 192: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 193: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 194: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 195: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 196: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 197: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 198: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 199: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 200: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 201: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 202: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Case 2.

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Page 204: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 205: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 206: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 207: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 208: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 209: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 210: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 211: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 212: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 213: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 214: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 215: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 216: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 217: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 218: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 219: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 220: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 221: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.
Page 222: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Cysts and their mimics.

• Anatomy.

• Rules

• Lumps – cysts and nodes.

• Needles.

Page 223: Ultrasound of the Neck · Rules . •Cysts don’t usually look like cysts. •Cysts will invariably look solid. •If a mass looks cystic,it probably won’t be a cyst.

Pseudotumors and cysts

Pseudotumors and cysts

Fenestration for Dentigerous Cysts

Fenestration for Dentigerous Cysts

Cysts and Tumors

Cysts and Tumors

Ovarian Cysts Pain

Ovarian Cysts Pain

Jaw Cysts Lab.part1

Jaw Cysts Lab.part1

Mesenteric cysts

Mesenteric cysts

Eyelid cysts

Eyelid cysts

Gastrointestinal Duplication Cysts

Gastrointestinal Duplication Cysts

Cysts of jaws1

Cysts of jaws1

cysts lecture

cysts lecture

Benign tumours,cysts

Benign tumours,cysts

Jaws: Cysts and Odontogenic Neoplasms · Jaws: Cysts and Odontogenic Neoplasms Jaw Cysts General Features of Jaw Cysts ... lesions. Given the sources of epithelium, some jaw cysts

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Intracranial Cysts: Radiologic ... · Intracranial Cysts: Radiologic-PathologicCorrelationandImaging Approach1 AnneG.Osborn,MD MichaelT.Preece,MD Cysts and …

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Ovarian cysts UG

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Extraintestinal Coccidia Large group of organisms important to humans and animals Most oocysts look alike - difficult to differentiate among species. Cysts.

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Jaw Cysts Lab

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Mesencephalic cysts: diagnosis and management caseshydrocephalus at birth, the aetiology is unclear. Directpunctureanddrainageof the cysts led to clinical improvement. The cysts were

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