Cervical Tuberculous Lymphadenitis: MR Features.
10.3348/jkrs.1995.33.4.521
- Author:
Ho Chul KIM
;
Sang Hoon BAE
;
Yul LEE
;
Kil Woo LEE
;
So Yeon CHO
;
Kyu Sun KIM
;
Saang Joe LEE
- Publication Type:Original Article
- MeSH:
Humans;
Lymph Nodes;
Protons;
Retrospective Studies;
Tuberculosis, Lymph Node*
- From:Journal of the Korean Radiological Society
1995;33(4):521-525
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To characterize the magnetic resonance (MR) imaging features of cervical tuberculous lymphadenitis. MATERIALS AND METHODS: The cervical MR images of 14 patients with pathologically or clinically proven cervical tuberculous lymphadenitis were retrospectively analyzed. T1- and T2-weighted or proton density images and contrast enhanced MR images were obtained in all patients. RESULTS: Most patient had multiple (n=12), unilateral lesions (n=l0), 8 mm to 45 mm in size, round (n=46) or ovoid (n=46) in shape and all with smooth and well-defined margins mostly at internal jugular chain(N2: 41, N3: 2, N4: 21 ). The signal intensities of the most lymph nodes were isointense or slightly hyperintense on T1 -weighted images, and hyperintense (all) with variable homogeneity on T2-weighted and/or proton density images. After contrast enhancement most showed characteristic thin peripheral rim enhancement (n=71). CONCLUSION: The characteristic MR features of cervical tuberculous lymphadenitis would be multiple, unilateral enlarged lymph nodes which show iso or slightly increased signal intensity on T1 -weighted image, high signal intensity on T2-weighted and/or proton density image and peripheral rim enhancement.