Presentation
Pain and difficulty eating and chewing food.
Patient Data
Age: 30 years
Gender: Male
From the case:
Sialolithiasis with sialadenitis
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On a plain CT scan, a large radiodense calculus of size 14 x 6.5 x 7.5 mm (APXMLXCC) was noted in the distalmost submandibular duct on the right side, and another calculus of size 9.7 x 5.0 x 4.4 mm (APXMLXCC) was just proximal to it.
There is an associated dilated right submandibular duct, a mildly shrunken right submandibular gland (compared to the opposite one), and few subcentimetre-sized submandibular region lymph nodes found.
Dilated and gas-filled parotid ducts.
Case Discussion
Final radiological diagnosis: right submandibular sialolithiasis with chronic sialadenitis.
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