Article Figures & Data
Figures
- Fig 1.
Images from the case of a 63-year-old woman who presented with right-sided cervical lymphadenopathy (case 1).
A, Axial contrast-enhanced T1-weighted image (505/12/2 [TR/TE/NEX]) of the nasopharynx shows a discrete moderately enhancing polypoid mass in the central roof and upper posterior wall at the site of the adenoids.
B, Coronal T2-weighted image (2500/100/3) shows a discrete polypoid mass of intermediate T2 signal intensity in the central roof/upper posterior wall at the site of the adenoids.
- Fig 2.
Images from the case of a 29-year-old woman with bilateral cervical lymphadenopathy (case 2).
A, Axial contrast-enhanced T1-weighted image (499/12/2) of the nasopharynx shows a discrete moderately enhancing polypoid mass in the central roof and upper posterior wall, with a small focus of necrosis at the site of the adenoids.
B, Coronal contrast-enhanced T1-weighted image (425/13/2) shows a moderately enhancing polypoid mass in the central roof/upper posterior wall with a small focus of necrosis at the site of the adenoids.
- Fig 3.
Image from the case of a 61-year-old man with postnasal drip (case 3). Axial contrast-enhanced T1-weighted image (506/12/2) of the nasopharynx shows mild diffuse mucosal thickening in the left side of the roof of the nasopharynx (arrows).
- Fig 4.
Axial contrast-enhanced T1-weighted image (500/15/2) of a nasopharynx shows the septations in normal lymphoid tissue (arrows).
Tables
Literature review of the imaging features of nasopharyngeal tuberculosis
Reference Symptoms Radiologic Features on MR Images Diagnosis Köktenera (4) Incidental finding of a nasopharyngeal mass on cranial MR image for headache Mucosal thickening in the left fossa of Rosenmüller; no extension outside the nasopharynx Primary tuberculosis; nasopharyngeal biopsy revealed granulomatous necrosis Percodani et al (1) Left lateral pharyngeal pain, hearing loss, nasal obstruction, postnasal drip Soft tissue in the left lateral wall with extension into the longus capitis Tuberculosis; nasopharyngeal biopsy revealed giant epithelioid granulomata; mycobacterium tuberculosis isolated on culture Chopra et al (2) Nasal obstruction and fullness in both ears. 2- to 3-cm polypoid mass in the midline of the superior nasopharynx extending to the left fossa of Rosenmüller; no bone or CNS invasion Primary tuberculosis; nasopharyngeal biopsy revealed necrotising granulomas; mycobacterium tuberculosis isolated on culture
