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Page 1: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
http://images5.fotopic.net/?iid=yeceog&noresize=1&nostamp=1&quality=70
Page 2: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Ultrasound of the head and neck

– beyond the thyroid .

Rhodri M Evans

Page 3: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Neck lump Clinic.

• Salivary glands.

• Lymph nodes.

• Thyroid nodules.

Ultrasound.

Page 4: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Imaging neck masses.

• Salivary glands

• Lymph nodes

• Cysts

Ultrasound

Page 5: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Salivary glands.

• Anatomy

Page 6: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 7: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 8: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 9: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 10: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 11: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Sublingual glands.

Page 12: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 13: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 14: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 15: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 16: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 17: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Sublingual Gland

Page 18: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 19: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 20: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 21: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 22: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Salivary glands.

• Stones.

• Salivary tumours.

• Extra – salivary tumours.

Page 24: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 25: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 26: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Parotid.

Page 32: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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masseter

RMV

ECA

Page 34: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Parotid tumours.

• 80% parotid in origin

• (20% extra-parotid)

• 80% superficial

• 80% benign

• 80% pleomorphic adenoma

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Page 39: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Page 62: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Extra – parotid masses.

20% of “parotid “ masses are extra-parotid in location

Page 64: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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LT

Page 69: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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RT

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LT

Page 72: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Lymph nodes.

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Normal lymph nodes.

Page 78: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Normal lymph nodes.

Page 79: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Normal lymph nodes.

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Normal lymph nodes.

Page 81: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Lymphoma?

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Lymphoma

Page 83: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Metastatic lymph nodes

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Metastatic lymph nodes

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Metastatic lymph nodes

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Metastatic lymph nodes

Page 87: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Metastatic lymph nodes

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Normal lymph nodes.

Page 89: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Normal lymph nodes.

Page 90: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Malignant lymph nodes.

Page 91: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Malignant lymph nodes.

Page 92: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Malignant lymph nodes.

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Malignant lymph nodes.

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Lymph Node Examination

3 4

5

6

7

8

9

10

1 2

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Page 103: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Imaging neck masses.

• Cysts

Ultrasound : rules

Page 104: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Rules .

• Cysts look solid.

• Solids can look cystic.

Page 107: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
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Page 110: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Cystic mass – upper cervical.

• Second Branchial cleft cyst.

• Metastatic lymph node : S.C.C.

• Metastatic lymph node : Papillary

Carcinoma Thyroid .

Page 111: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Rules .

• Cysts don’t usually look like cysts.

• Cysts will invariably look solid.

• Cysts - Anatomy!

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?

Page 118: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes
Page 119: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

Imaging neck masses.

• Salivary glands

• Lymph nodes

• Cysts

Ultrasound

Page 120: Ultrasound of the head and neck - bmus.org€¦ · Ultrasound of the head and neck – beyond the thyroid . Rhodri M Evans . Neck lump Clinic. •Salivary glands. •Lymph nodes

www.headandneckultrasound.co.uk

http://images5.fotopic.net/?iid=yeceog&noresize=1&nostamp=1&quality=70

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Ultrasound of the Central Neck and Empty Neck · Patient: 24 yo woman with PTC Final path Post-op Tg 0.3 +TgAB TSHR mRNA

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Cigna Medical Coverage Policies – Radiology Neck ImagingNov 15, 2018  · Ultrasound of the soft tissues of the neck including thyroid, parathyroid, parotid and other salivary glands,

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Validation of Competency Process Manual Certification in Neck Ultrasound ECNU Part 2: Validation of Competency Process Manual For candidates who successfully completed the Comprehensive

Post operative ultrasound evaluation of the neck in Thyroid cancer patients Stephen D. Chapman, D.O. Lansing Radiology Associates, P.C

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Ultrasound Examinations of the Head and Neck - · PDF fileUltrasound Examinations of the Head and Neckand the AIUM Standards and Guidelines for the Accreditation of Ultrasound Practices

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Selecting Transducer Patient & Examiner Positioning€¦ · 1 Page 1 Scanning Techniques & Normal Head/Neck Ultrasound Anatomy Maisie Shindo, M.D. Professor Department of Otolaryngology

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ANATOMY and ULTRASOUND PATHOLOGYsyllabus.aace.com/2017/Atlanta_Neck_US/Presentations/PDFs/1_Margulies.pdf · AACE 2017 Principles of Endocrine Neck Sonography Course™ ANATOMY and

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The differential diagnosis of parotid gland tumors …...HEAD AND NECK The differential diagnosis of parotid gland tumors with high-resolution ultrasound in otolaryngological practice

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Ultrasound Examinations of the Head and Neck - aium.org · headNeck.qxp_1115 12/1/15 3:14 PM Page 3. A comprehensive survey of the neck with ultrasound is usually performed with the