61-year-old female with palpable abnormality at mandibular angle Right submandibular gland is generally homogeneous in echotexture without diffuse slialectasis. There is a 1.3 cm lymph node within the substance of the gland. Cranial to this there is a complex cystic mass which is superficial within the gland and corresponds to the palpable abnormality. This measures 0.6 x 0.8 x 0.9 cm and contains multiple shadowing calcifications. On several images, it appears at this may communicate with a segment of duct. No definite thrombosed vasculature is identified..
Complex cystic mass in the right submandibular gland with calcification. Differential considerations would include Sialic cyst/sialocele, there does not appear to be significant vascularity or soft tissue mass to suggest mucoepidermoid carcinoma or papillary carcinoma, and therefore this may be postinflammatory.