Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a 6 week old female with a small punctate sinus located at the right sternocleidomastoid that had expressed some secretions.
Clinical Physical Exam:
Small punctate sinus at the right sternocleidomastoid.
Clinical Differential Diagnosis:
Branchial cleft sinus
No pre-operative imaging was performed.
Imaging Differential Diagnosis:
The patient underwent an excision of the branchial cleft sinus tract which was 10 cm in length.
Examination of the surgical specimen revealed findings consistent with a diagnosis of second branchial cleft sinus.
Second Branchial Cleft Sinus
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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