Presentation
Recurrent bouts of bilateral submandibular swelling
Patient Data
Age: 40 years
Gender: Female
From the case:
Chronic submandibular sialadenitis
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Diffusely swollen submandibular glands replaced by numerous parenchymal cysts, typically seen in chronic salivary gland inflammation.
From the case:
Chronic submandibular sialadenitis
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Symmetrically bulky bilateral submandibular glands with maximal cross section dimensions of 31 x 24 mm and 27 x 21 mm on right and left sides respectively. Couple of subcentimeter bilateral level Ib nodes. Dynamic post i.v. gadolinium contrast shows symmetric progressive persistent enhancement of both glands.
Case Discussion
The lack of a focal lesion, with diffuse cystic change of both glands with relatively preserved internal architecture favors diagnosis of chronic bilateral sialadenitis.
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