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CASE A Images of a 39-year-old man ( A, computed tomography [ CT ]) and a 30-year-old man ( B and C, magnetic resonance imaging) with incidental parotid lesions. Ax, axial; Cor, coronal; SPGR, spoiled gradient. Open full size image CASE B A 54-year-old woman ( A, computed tomography [ CT ]) and a 39-year-old woman ( B and C, magnetic resonance imaging) with chronic dry…

CASE A A 20-year-old woman with a gradually enlarging right parotid mass. Ax , axial; FS , fat saturated. Open full size image CASE B A 74-year-old man with a history of smoking presenting with a nontender left parotid mass. Ax , axial; Cor , coronal; FS , fat saturated. Open full size image CASE C A 67-year-old man presenting with an enlarging right preauricular mass.…

CASE A A 13-year-old boy presenting with epistaxis. CT, computed tomography; FS, fat saturated. Open full size image CASE B A 62-year-old man presenting with epistaxis. Open full size image CASE C A 73-year-old man presenting with chronic sinusitis. CT, computed tomography. Open full size image CASE D A 51-year-old man presenting with persistent nasal congestion. CT, computed tomography. Open full size image CASE E A…

CASE A A 37-year-old woman presenting with blurred vision and a bulging left eye for the past 2 months. Ax , axial; CT , computed tomography. Open full size image CASE B A 59-year-old man presenting with ptosis of the right eye and an irregular superior orbital rim. Ax, axial; Cor, coronal; CT, computed tomography. Open full size image CASE C A 76-year-old woman presenting with a…

CASE A A 76-year-old woman presenting with diplopia, left-sided visual loss, left eye ptosis, and exophthalmos. Ax, axial; Cor, coronal; CT, computed tomography; CTA, CT angiography. Open full size image CASE B A 51-year-old woman presenting with headache and swelling of the left eye. Ax, axial; Cor, coronal; CT, computed tomography; CTA, CT angiography. Open full size image DESCRIPTION OF FINDINGS Case A: Noncontrast head CT…

CASE A A 6-year-old boy presenting with decreased vision in the left eye. Ax, axial; Cor, coronal; FS, fat suppressed. STIR, short T1 inversion recovery. Open full size image CASE B A 6-year-old boy presenting with decreased vision in the right eye. Ax, axial; Cor, coronal; FS, fat suppressed. Open full size image CASE C A 24-year-old woman presenting with blurred vision. Ax, axial; Cor, coronal;…

CASE A An 18-year-old woman who fell from a tree presents with a mass found incidentally. Ax, axial; Cor, coronal; CT, computed tomography; FS, fat saturated. Open full size image CASE B A 23-year-old man presenting with dizziness and a 6-month history of decreased right-sided hearing. Ax, axial; Cor, coronal; CT, computed tomography; FS, fat saturated. Open full size image CASE C A 62-year-old woman with…

CASE A A 33-year-old asymptomatic man with cystic lucency found on routine dental radiographs. Ax , axial; CT , computed tomography; Sag , sagittal. Open full size image CASE B A 31-year-old man with right lower mandible pain for 2 months. Ax , axial; CT , computed tomography; Sag , sagittal. Open full size image CASE C A 20-year-old man presenting with progressive swelling of the…

CASE A A 51-year-old man presenting with facial weakness and sensorineural hearing loss. CT, computed tomography. Open full size image CASE B A 39-year-old woman presenting with otalgia and facial palsy. CT, computed tomography. Open full size image CASE C A 67-year-old man with a parotid malignancy and progressive facial paralysis. CT, computed tomography. Open full size image DESCRIPTION OF FINDINGS Case A: CT of the…

CASE A A 39-year-old woman presenting with pulsatile tinnitus. Ax , axial; Cor , coronal; CT, computed tomography. Open full size image CASE B A 33-year-old woman presenting with pulsatile tinnitus. Ax , axial; Cor , coronal; CT, computed tomography. Open full size image CASE C A 27-year-old woman presenting with otalgia and pulsatile tinnitus. Ax , axial; Cor , coronal; CT, computed tomography. Open full…

CASE A A 35-year-old man presenting with otalgia, otorrhea, and mild conductive hearing loss. Ax , axial; Cor , coronal; NCCT, noncontrast computed tomography. Open full size image CASE B A patient with bilateral chronically draining ears. Ax , axial; Cor , coronal; NCCT, noncontrast computed tomography. Open full size image CASE C A 30-year-old patient with narrowing of the external canals bilaterally. Ax , axial;…

CASE A A 67-year-old man with hearing loss and headache. FLAIR, fluid attenuated inversion recovery. Open full size image CASE B A 53-year-old woman with progressive hearing loss. ADC, apparent diffusion coefficient; CT, computed tomography; DWI, diffusion-weighted imaging. Open full size image CASE C A 49-year-old woman presenting with a throbbing sensation in her head. CT, computed tomography; CTA, CT, angiography. Open full size image CASE…

CASE A A 46-year-old man with a history of progressive personality change for 1.5 years. Ax , axial; Cor , coronal; Sag , sagittal. Open full size image CASE B A 68-year-old woman with a 3-year history of episodic dizziness, a nasal mass, and hyposmia. Ax , axial; Cor , coronal; Sag , sagittal. Open full size image CASE C A 50-year-old man presenting with epistaxis…

CASE A A 41-year-old man with left arm paresthesias. Ax, axial; Sag, sagittal. Open full size image CASE B A 4-year-old girl with a palpable anterior neck mass. Ax, axial; Cor, coronal; CT, computed tomography. Open full size image CASE C A 45-year-old woman with dysphagia and hypothyroidism. Ax, axial; Cor, coronal; Sag, sagittal. Open full size image DESCRIPTION OF FINDINGS Case A: A hyperintense cystic…

CASE A A 53-year-old woman presenting with swelling on the left side of the floor of the mouth. Open full size image CASE B A 60-year-old man presenting with a slowly enlarging, nontender mass in the right anterior submandibular part of the neck. Open full size image CASE C A 2-month-old child presenting with a mass at the root of the tongue. Open full size image…

CASE A A 46-year-old woman presenting with a parapharyngeal mass in the left side of the neck that was detected incidentally. Ax, axial; CT, computed tomography; FS, fat saturated; SPECT, single-photon emission computed tomography. Open full size image CASE B A 61-year-old woman presenting with a mass in the left side of the neck. Ax, axial; FS, fat saturated. Open full size image DESCRIPTION OF FINDINGS…

CASE A A 71-year-old woman with a mass discovered incidentally in the left parapharyngeal space. Ax, axial; CT, computed tomography; FS, fat saturated. Open full size image CASE B Routine neck imaging for a 73-year-old man with a history of medullary thyroid cancer revealed a mass. Ax, axial; Cor, coronal; FS, fat saturated. Open full size image DESCRIPTION OF FINDINGS Case A: Contrast-enhanced CT demonstrates a…

CASE A A 2-year-old girl presenting with fever and a mass in her neck for 24 hours. Ax , axial; Cor , coronal; CT, computed tomography; Sag , sagittal. Open full size image CASE B A 2-month-old girl presenting with swelling in the left side of the neck, a mass, and firm induration. Ax , axial; Cor , coronal; CT, computed tomography; Sag , sagittal. Open…

CASE A A 22-year-old woman presenting with swelling in the left side of the neck. Ax , axial; Cor , coronal CT, computed tomography. Open full size image CASE B A 61-year-old man with squamous cell carcinoma of the oral tongue and lung cancer. Ax , axial; Cor , coronal; CT, computed tomography; Sag , sagittal. Open full size image CASE C A 56-year-old woman with…

CASE A A 5-year-old boy presenting with painful right facial swelling and a history of a left ear infection 1 week earlier. Ax , axial; Cor , coronal; CT, computed tomography. Open full size image CASE B A 40-year-old man with neurofibromatosis type 1 and known facial dysmorphism resulting from left facial plexiform neurofibromas and multiple surgeries, now presenting with a fluctuant mass posterior to the left…