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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleHead and Neck

Revisiting Imaging Features and the Embryologic Basis of Third and Fourth Branchial Anomalies

B. Thomas, M. Shroff, V. Forte, S. Blaser and A. James
American Journal of Neuroradiology April 2010, 31 (4) 755-760; DOI: https://doi.org/10.3174/ajnr.A1902
B. Thomas
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M. Shroff
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V. Forte
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S. Blaser
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A. James
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Article Figures & Data

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  • Fig 1.
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    Fig 1.

    Infective lesion involving the upper pole of left thyroid lobe (arrow) associated with a third/fourth brachial remnant. Contrast-enhanced coronal CT reformation of the neck (A), contrast-enhanced coronal axial CT scan at the level of the thyroid gland (B), and a sonogram of the left thyroid lobe (C) show the phlegmonous lesion. Pharyngoscopy (not shown) revealed an opening at the apex of the left piriform sinus.

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    Fig 2.

    Extensive left-sided neck infection with abscess (thin black arrow) formation and involvement of the left thyroid lobe (thick arrow). Contrast-enhanced coronal T1 fat-saturated MR image of the neck (A), contrast-enhanced axial T1 fat-saturated MR image (B), and contrast-enhanced axial CT scan at the level of the thyroid gland (C) demonstrate the lesion well.

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    Fig 3.

    A, Contrast-enhanced axial CT scan at the level of the thyroid gland shows a small air pocket within the left lobe of the thyroid gland (black arrow), which is thought to be characteristic of a branchial sinus remnant. B, Pharyngoscopy photograph shows the opening (white arrow) of the branchial pouch sinus in the apex of the pyriform fossa.

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    Fig 4.

    Noninfected third branchial cleft cyst on the right side of the neck following the course of the embryonal thymopharyngeal duct (arrows). A, Coronal T2 fat-saturated image. B, Schematic representation of the course of the thymopharyngeal duct.

Tables

  • Figures
  • Demographics, clinical presentation, pharyngoscopy findings, and imaging

    Sl No.Age (mo)SexPresentationSideAbscessThyroid InvPiriform SImaging
    0160MInfl neck massL–++LCT/MRI
    02108FInfl neck massL+++LUS/CT/MRI
    03120FNoninfl neck mass, cystR–Adj+RMRI
    0420FInfl neck massL+++LUS/CT
    0517FInfl neck massL+++LCT
    0690MInfl neck massL+++LCT/MRI
    079MInfl neck massL–+–CT
    08117FNoninfl neck mass, cystR–Adj+RUS/CT
    09125FInfl neck massL+++LUS/CT
    10127MInfl neck massL–++LCT/MRI
    1150MInfl neck mass, cystR–Adj+RUS/CT
    1299MInfl neck massL+++LUS/CT
    1332MInfl neck massL+++LCT/MRI
    1423FInfl neck massL+++LUS/barium
    15182FInfl neck massL+++LCT
    16104FInfl neck massL–++LUS/CT
    1731FInfl neck massL–++LCT
    1841MInfl neck massL–++LUS/CT
    19145FInfl neck massL–+–US/nuclear
    20191FInfl neck massR+++L + RUS/CT
    • + indicates present; –, absent.

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American Journal of Neuroradiology: 31 (4)
American Journal of Neuroradiology
Vol. 31, Issue 4
1 Apr 2010
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Revisiting Imaging Features and the Embryologic Basis of Third and Fourth Branchial Anomalies
B. Thomas, M. Shroff, V. Forte, S. Blaser, A. James
American Journal of Neuroradiology Apr 2010, 31 (4) 755-760; DOI: 10.3174/ajnr.A1902
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Cite this article
B. Thomas, M. Shroff, V. Forte, S. Blaser, A. James
Revisiting Imaging Features and the Embryologic Basis of Third and Fourth Branchial Anomalies
American Journal of Neuroradiology Apr 2010, 31 (4) 755-760; DOI: 10.3174/ajnr.A1902

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