To review the key clinical and imaging findings of lymph node mimickers for diagnosis To provide a practical diagnostic approach for differentiate lymph node from its mimickers

Differentiating lymph nodes from other masses in the head and neck region can be challenging. Patient history and clinical evaluation has crucial role for the diagnosis. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) help for evaluation of the cervical lymph node morphology and diagnosing lymph node mimickers. We purpose to share our experience and give a useful, simplified clinical and imaging approach to differentiate lymph nodes from the mimickers.

Case 1.[Fig 1] Differentiation submandibular gland masses from lymph nodes Küttner Tumor: IgG4-Related Disease of the Submandibular Gland[Fig 2] Characteristically involves the submandibular glands Diffuse enlargement of the submandibular glands that demonstrates homogeneous density or signal intensity at CT and MRI Radiologically indistinguishable from primary neoplasm Key points: Submandibular space (SMS) is a suprahyoid vertical horse-shoe shaped space below the mylohyoid sling. Major internal contents of the SMS include submandibular gland (SMG), level I lymph nodes, anterior digastric belly muscle and fat. The first step...

Not only getting detailed clinical anamnesis and physical examination findings but also carefully reviewing prior images and researching for some imaging clues help us correct or best estimated diagnosis to determinate lymph node and its mimickers. Radiologists should know the key imaging features of the lymph node mimickers. This provides early diagnosis and appropriate treatment.

T. Hancioğlu: Nothing to disclose Y. Pekçevik: Nothing to disclose H. Şahin: Nothing to disclose F. C. C. Sarioğlu: Nothing to disclose A. I. I. Akdoğan: Nothing to disclose

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