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Acute submandibular sialadenitis (MRI)

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pain and swelling of the right submandibular region.

Patient Data

Age: 55 years
Gender: Male

There is a 9 mm signal void stone in the proximal aspect of the right Wharton's duct. (the duct can by identified as a bright linear structure originating from the anterior aspect of the submandibular gland, and coursing anteriorly along the floor of mouth on the T2 images). There is resulting ipsilateral submandibular gland enlargement, increased T2 signal, and hyperenhancement consistent with sialadenitis. 

Case Discussion

Submandibular gland sialadenitis secondary to a Wharton's duct stone.

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