venerdì 27 giugno 2008
There is diffuse soft tissue and glandular edema in the left sublingual and submandibular region. There is a large calcification in the left sublingual region representing a sialolith.
- Submandibular sialadenitis
- Submandibular carcinoma
- Malignant lymph node
Diagnosis: Submandibular sialadenitis
- Unilateral painful submandibular gland (SMG) swelling with eating or salivation
- Painless mass
Treatment: Removal of submandibular gland in some cases.
Radiologic Evaluation: CT with contrast.
A sialolith is a calculus found in the salivary duct
- 85% are found in the submandibular duct, Wharton's duct
- 10% are found in the parotid duct
- 5% in the sublingual duct
- Unilateral enhancing enlarged SMG with dilated duct behind the calculus
- Intraglandular ductal dilatation
- SMG cellulitis and/or myositis
- SMG small
- Fatty infiltration
- Intraductal calculus