WIDI - CA0132-Obstructive Sialadenitis of Submandibular Gland, CT

Obstructive Sialadenitis of Submandibular Gland, CT

Claim CME Credit

0.5 CME Credit available on completion

POINT OF CARE INFORMATION

This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.

Learning Objectives

As a result of participation in this activity, participants should be able to:

Provide improved patient care.
Greater knowledge of the imaging characteristics of the patient's disease.
Understand a better approach to interpretation of studies.

Faculty Disclosure

Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.

CME Advisory Committee Disclosure:

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.

Continuing Medical Education Credit

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CA0132-Obstructive Sialadenitis of Submandibular Gland, CT

History

46-year old male with swelling and pain in the left submandibular region. Study was done to exclude a possible dental related abscess.

Exam

Contrast-enhanced CT of the maxillofacial region and neck and related anatomy with images obtained in the balanced or venous vascular phase to ensure optimal visualization of both arterial and venous structures as well as possible reactive changes around infected collections. 0.5-3.0 mm thick sections were obtained in the axial plane and reformatted 3D and/or in the coronal and sagittal planes and viewed inter actively in 3 dimensions at the computer work station.

Findings

Parotid Glands

The parotid glands are normal, as are the adjacent vessels, regional lymph nodes and surrounding spaces.

Submandibular Glands

The left submandibular gland is enlarged and shows increased enhancement. There are no intraglandular cysts or sialocoeles.

The submandibular duct and the intraglandular ducts are dilated with an intraductal stone measuring about 1 cm in the proximal submandibular duct near the point where the duct turns to enter the submandibular gland at the posterior age of the mylohyoid muscle. There is edema within the adjacent submandibular space. There is related reactive adenopathy in level 1B on the left.

The right submandibular gland is normal.

Sublingual Glands

The sublingual glands are normal.

Other Findings

The lacrimal glands and both globes are normal.

Other significant abnormal findings are not present.

General Facial, Pharyngeal and Neck

No other significant abnormality is present.

Impression

Left submandibular gland siaoladenitis due to obstructing 1 cm stone in the submandibular duct as described above.

Recommendations

The emergency medical service was notified by way of routine communication that this was related to glandular rather than dental pathology and the appropriate clinical service was contacted.