Findings:
There is a 9 x 4.5 mm signal void stone in the proximal aspect of the right Wharton’s duct. There is resulting ipsilateral submandibular gland enlargement, increased T2 signal, and hyperenhancement consistent with sialadenitis. Also, dilation of the intraglandular ducts are noted on the right side.
No abscess formation. Several non-specific lymph nodes are noted in both submandibular regions.
The left submandibular gland and the parotid glands are unremarkable.
The soft tissue of the neck is otherwise normal with no mass lesion or pathological lymphadenopathy.
The visualised brain is unremarkable. Mild mucosal thickening is seen in the paranasal sinuses bilaterally. The mastoid air cells are clear.
No bony abnormality is seen.
Impression:
Right-sided submandibular gland sialadenitis secondary to a Wharton’s duct stone.