120
Ultrasound of the head and neck
– beyond the thyroid .
Rhodri M Evans
Neck lump Clinic.
• Salivary glands.
• Lymph nodes.
• Thyroid nodules.
Ultrasound.
Imaging neck masses.
• Salivary glands
• Lymph nodes
• Cysts
Ultrasound
Salivary glands.
• Anatomy
Sublingual glands.
Sublingual Gland
Salivary glands.
• Stones.
• Salivary tumours.
• Extra – salivary tumours.
Parotid.
masseter
RMV
ECA
Parotid tumours.
• 80% parotid in origin
• (20% extra-parotid)
• 80% superficial
• 80% benign
• 80% pleomorphic adenoma
Extra – parotid masses.
20% of “parotid “ masses are extra-parotid in location
LT
RT
LT
Lymph nodes.
Normal lymph nodes.
Normal lymph nodes.
Normal lymph nodes.
Normal lymph nodes.
Lymphoma?
Lymphoma
Metastatic lymph nodes
Metastatic lymph nodes
Metastatic lymph nodes
Metastatic lymph nodes
Metastatic lymph nodes
Normal lymph nodes.
Normal lymph nodes.
Malignant lymph nodes.
Malignant lymph nodes.
Malignant lymph nodes.
Malignant lymph nodes.
Lymph Node Examination
3 4
5
6
7
8
9
10
1 2
Imaging neck masses.
• Cysts
Ultrasound : rules
Rules .
• Cysts look solid.
• Solids can look cystic.
Cystic mass – upper cervical.
• Second Branchial cleft cyst.
• Metastatic lymph node : S.C.C.
• Metastatic lymph node : Papillary
Carcinoma Thyroid .
Rules .
• Cysts don’t usually look like cysts.
• Cysts will invariably look solid.
• Cysts - Anatomy!
?
Imaging neck masses.
• Salivary glands
• Lymph nodes
• Cysts
Ultrasound
www.headandneckultrasound.co.uk
