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Neck swelling

Sonopath Forum

Sonopath Forum

Neck swelling

  • 10 year old lab presented with swelling in right submandibular region, extends dorsally to ear and crosses midline ventrally
  • Mouth exam unremarkable, not a stick chewer
  • Swelling is pitting and now lip swollen due to suspect interruption in lymphatic drainage
  • I am seeing cellulitis and what I think is an enlarged parotid salivary gland plus smaller lymph nodes
  • I have aspirated these areas
  • Can you make out what might be causing the swelling?

  • 10 year old lab presented with swelling in right submandibular region, extends dorsally to ear and crosses midline ventrally
  • Mouth exam unremarkable, not a stick chewer
  • Swelling is pitting and now lip swollen due to suspect interruption in lymphatic drainage
  • I am seeing cellulitis and what I think is an enlarged parotid salivary gland plus smaller lymph nodes
  • I have aspirated these areas
  • Can you make out what might be causing the swelling?

Comments

rlobetti
September 5, 2018 at 12:43 pm -

Non-specifiic inflammatory

Non-specifiic inflammatory reaction and most likley bacterial infection. Pending the results of the FNA would do a through oral and pharyngeal examination under GA.

EL
September 6, 2018 at 4:45 am -

Looks like cellulitis pattern

Looks like cellulitis pattern and reactuve LN. Consider spider bite… maybe after swallowing one:)

veteurope1
September 10, 2018 at 8:34 pm -

Thank you, aspirates came

Thank you, aspirates came back as suppurative inflammation, I will update with any advancements from here. 

EL
September 12, 2018 at 4:31 am -

makes sense! Thanks for the

makes sense! Thanks for the follow up:)

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