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British Journal of Radiology (1996) 69, 1181-1183
© 1996 British Institute of Radiology
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The British Journal of Radiology, Vol 69, Issue 828 1181-1183, Copyright © 1996 by British Institute of Radiology

ARTICLES

Case report: tuberculosis of the parotid gland--diagnosis by CT

S Bhargava, DJ Watmough, FA Chisti and SA Sathar
Department of Radiology, Faculty of Medicine, Kuwait University, Kuwait.

A case of parenchymal and intraparotid lymph node tuberculosis is reported in a young Asian male. The diagnosis was suggested pre-operatively by the contrast enhanced CT (CECT) appearance. There were no systemic symptoms of tuberculosis and this is a characteristic feature of the 100 cases reported in the literature. The presence of thick walled rim enhancing lesions with a central lucency on CECT should suggest the diagnosis. Filling defects with or without thin walls are non-specific findings and are seen in tumours and other inflammatory processes. In an appropriate clinical setting, thick walled round rim enhancing lesions with a central lucency are characteristic of tuberculosis.




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