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Sialolith

Pubols CLDP - MedPix (2015)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Sialolith

History: 35 y.o. man presents with firm mass in right submandibular region and reports foul smelling discharge from mouth. He has some foul-tasting and discolored drainage from his mouth. His right SMG is firm. No swelling of gland recently. Afebrile. No dyspahgia or odynophagia. No voice changes. No paresthesias of face, lips or tongue. PMH significant for OSA, but otherwise non-contributory.

Findings: Right submandibular 6 mm obstructing sialolith at the anteromedial margin of the salivary gland. Associated dilation of short segment of duct proximal to this sialolith. No significant sialoadenitis.

Ddx: Sialolith Phlebolith Atherosclerotic calcification

Dxhow: Imaging and Surgical resection

Exam: BP: 139/80, HR: 72, HT: 64 in, WT: 175 lbs, BMI: 30.04 General Appearance: Well developed, well nourished, not in acute distress. Oral Cavity: Palpable mass or stone posteriorly at back edge of right mylohyoid muscle. Unable to estimate size. Able to express purulence with palpation of right SMG. Left side normal. Firm right SMG on exam. Non-tender. Lips: Showed no abnormalities. Vestibule: Normal. Teeth: No dental abnormalities. Buccal Mucosa: No abnormalities. Tongue: No abnormalities. Mouth Floor: Floor of the mouth showed no abnormalities. Palate: Hard palate was normal. Oropharynx: Soft palate was normal. Uvula showed no abnormalities. Tonsils showed no abnormalities. Neurological: CN II-XII intact. Labs: WBC: 6.7, Hgb: 15.3, HCT: 43.9, Platelets: 232, TSH: 1.3, FREE T4:1.32

No MeSH data available.


Immediately anteromedial to the right submandibular gland is a circumscribed rounded 6 mm calcification compatible with a sialolith. The proximal most aspect of the submandibular duct is dilated. Generalized edematous change to the submandibular gland is present. The overlying platysma is within normal limits. The distal aspect of the submandibular duct is otherwise normal. The left submandibular gland duct is within normal limits.
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MPX2072_synpic61257: Immediately anteromedial to the right submandibular gland is a circumscribed rounded 6 mm calcification compatible with a sialolith. The proximal most aspect of the submandibular duct is dilated. Generalized edematous change to the submandibular gland is present. The overlying platysma is within normal limits. The distal aspect of the submandibular duct is otherwise normal. The left submandibular gland duct is within normal limits.


Sialolith

Pubols CLDP - MedPix (2015)

Immediately anteromedial to the right submandibular gland is a circumscribed rounded 6 mm calcification compatible with a sialolith. The proximal most aspect of the submandibular duct is dilated. Generalized edematous change to the submandibular gland is present. The overlying platysma is within normal limits. The distal aspect of the submandibular duct is otherwise normal. The left submandibular gland duct is within normal limits.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2072&req=5

MPX2072_synpic61257: Immediately anteromedial to the right submandibular gland is a circumscribed rounded 6 mm calcification compatible with a sialolith. The proximal most aspect of the submandibular duct is dilated. Generalized edematous change to the submandibular gland is present. The overlying platysma is within normal limits. The distal aspect of the submandibular duct is otherwise normal. The left submandibular gland duct is within normal limits.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Sialolith

History: 35 y.o. man presents with firm mass in right submandibular region and reports foul smelling discharge from mouth. He has some foul-tasting and discolored drainage from his mouth. His right SMG is firm. No swelling of gland recently. Afebrile. No dyspahgia or odynophagia. No voice changes. No paresthesias of face, lips or tongue. PMH significant for OSA, but otherwise non-contributory.

Findings: Right submandibular 6 mm obstructing sialolith at the anteromedial margin of the salivary gland. Associated dilation of short segment of duct proximal to this sialolith. No significant sialoadenitis.

Ddx: Sialolith Phlebolith Atherosclerotic calcification

Dxhow: Imaging and Surgical resection

Exam: BP: 139/80, HR: 72, HT: 64 in, WT: 175 lbs, BMI: 30.04 General Appearance: Well developed, well nourished, not in acute distress. Oral Cavity: Palpable mass or stone posteriorly at back edge of right mylohyoid muscle. Unable to estimate size. Able to express purulence with palpation of right SMG. Left side normal. Firm right SMG on exam. Non-tender. Lips: Showed no abnormalities. Vestibule: Normal. Teeth: No dental abnormalities. Buccal Mucosa: No abnormalities. Tongue: No abnormalities. Mouth Floor: Floor of the mouth showed no abnormalities. Palate: Hard palate was normal. Oropharynx: Soft palate was normal. Uvula showed no abnormalities. Tonsils showed no abnormalities. Neurological: CN II-XII intact. Labs: WBC: 6.7, Hgb: 15.3, HCT: 43.9, Platelets: 232, TSH: 1.3, FREE T4:1.32

No MeSH data available.