Season 3 Case 33

History: Neck swelling

Season 3 Case 33

History: neck swelling


Answer:

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Case 33 Answer

Answer: bilateral Internal jugular venous thrombosis (quite extensive I might say!)

Given the extensive nature (and the somewhat shaggy appearance above), I think bringing up the thought of Lemierre Syndrome is wise. Remember that Lemierre syndrome is septic thrombosis of the internal jugular veins (usually due to throat/neck infection) with distal septic thrombotic emboli.

short reference: http://radiopaedia.org/articles/lemierre-syndrome

Nice Radiology article: http://pubs.rsna.org/doi/pdf/10.1148/radiology.213.2.r99nv09369