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medial deviation of internal carotid artery

Long JRL - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: medial deviation of internal carotid artery

History: 84 year old male referred to otolaryngology clinic for a right tonsillar "mass."

Findings: Contrast enhanced axial CT images of the neck demonstrate a marked tortuosity of the right internal carotid artery just distal to the carotid bulb. There is medial deviation of the internal carotid with mass effect on the adjacent retropharyngeal soft tissues of the neck. This correlates with the patient's "mass" alluded to in the clinical history. Incidentally noted are calcified atherosclerotic plaques. A thick section multi-planar reformatted image demonstrates the tortuosity of this vessel well. Also in the patient's prior studies was a carotid dopler ultrasound examination which again demonstrated the tortuosity of this vessel.

Ddx: Medial deviation of the internal carotid artery (aka retropharyngeal internal carotid)

Dxhow: Contrast enhanced neck CT

Exam: On physical exam the patient had assymetric fullness of the right posterior oropharynx.

No MeSH data available.


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medial deviation of internal carotid artery

Long JRL - MedPix (2007)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1880&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: medial deviation of internal carotid artery

History: 84 year old male referred to otolaryngology clinic for a right tonsillar "mass."

Findings: Contrast enhanced axial CT images of the neck demonstrate a marked tortuosity of the right internal carotid artery just distal to the carotid bulb. There is medial deviation of the internal carotid with mass effect on the adjacent retropharyngeal soft tissues of the neck. This correlates with the patient's "mass" alluded to in the clinical history. Incidentally noted are calcified atherosclerotic plaques. A thick section multi-planar reformatted image demonstrates the tortuosity of this vessel well. Also in the patient's prior studies was a carotid dopler ultrasound examination which again demonstrated the tortuosity of this vessel.

Ddx: Medial deviation of the internal carotid artery (aka retropharyngeal internal carotid)

Dxhow: Contrast enhanced neck CT

Exam: On physical exam the patient had assymetric fullness of the right posterior oropharynx.

No MeSH data available.