Paediatric radiological case: First branchial cleft anomaly
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A 6-year-old girl presented with localized swelling and redness located anterior and inferior to her right ear. There is a history of intermittent swelling in this region with fever and purulent drainage from the ear. Axial and coronal images from a CT examination of the neck with IV contrast show a complex, rim-enhancing lesion in the right parotid region, just inferior to the right external auditory canal. She was diagnosed with the first branchial cleft anomaly. Differential diagnoses include suppurative abscess, benign lymphoepithelial cyst, venolymphatic malformation, and nontuberculous mycobacterial adenitis.

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