Question:

Which of the following represents the imaging characteristics of a congenital midline cervical cleft?
1. MRI demonstrates a T2 hyperintense cystic lesion.
2. Ultrasound shows no direct communication with the cutaneous surface.
3. A sinus tract demonstrates peripheral enhancement on MRI.
4. Radiographs are diagnostic.
5. The thyroid gland is frequently involved.





Answer:

The correct answer for the question "Which of the following represents the imaging characteristics of a congenital midline cervical cleft?" is:

3. A sinus tract demonstrates peripheral enhancement on MRI.



Explanation
1. MRI shows a linear tract, not a cyst. [MRI usually demonstrates skin thinning and a peripherally-enhancing, T1 hypointense, and T2 hyperintense linear tract without disruption of any bony or cartilaginous structures or involvement of the thyroid gland.]
2. There is a sinus tract with a cutaneous opening. [Ultrasound of the neck shows a non-vascular, blind-ending sinus tract from the skin surface.]
3. The sinus tract demonstrates peripheral enhancement. [MRI usually demonstrates skin thinning and a peripherally-enhancing, T1 hypointense, and T2 hyperintense linear tract without disruption of any bony or cartilaginous structures or involvement of the thyroid gland.]
4. [Prior to the widespread use of ultrasound and MRI, radiographs of the neck classically demonstrated bony spurring at the mandible in advanced cases due to traction from the underlying fibrous cord.]
5. The thyroid gland is normal. [MRI usually demonstrates skin thinning and a peripherally-enhancing, T1 hypointense, and T2 hyperintense linear tract without disruption of any bony or cartilaginous structures or involvement of the thyroid gland.]



From the manuscript:
Congenital Midline Cervical Cleft
Radiology Case. 2015 Mar; 9(3):7-11


This article belongs to the Neuro section.




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From the manuscript

Congenital Midline Cervical Cleft

Free full text article: Congenital Midline Cervical Cleft

Abstract
Congenital midline cervical cleft is a rare anomaly that typically presents in the neonatal period as a thin suprasternal vertical band of erythematous skin with a nipple-like projection superiorly, which may exude fluid. We present the clinical and pathophysiologic features and the imaging findings of this uncommon, and rarely described entity in a newborn girl.






References



1. Kakodkar K, Patel S, Maddalozzo J. Congenital Midline Cervical Cleft. Otolaryngology 2013;03(02)
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2. Agag R, Sacks J, Silver L. Congenital midline cervical cleft. Cleft Palate Craniofac J 2007;44(1):98-101
Get full text
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3. King J, Patel RV, Huddart SN. Congenital midline cervical cleft. Journal of Pediatric Surgery Case Reports 2013;1(5):99-101 Available at: http://www.jpscasereports.com/article/S2213-5766(13)00039-0/pdf
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4. Van der Staak F, Pruszczynski M, Severijnen R, Van de Kaa CA, Festen C. The midline cervical cleft. Journal of pediatric surgery 1991;26(12):1391-1393
Get full text
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5. Mlynarek A, Hagr A, Tewfik TL, Nguyen VH. Congenital mid-line cervical cleft: case report and review of literature. International Journal of Pediatric Otorhinolaryngology 2003;67(11):1243-1249
Get full text
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6. LaRiviere CA, Waldhausen JH. Congenital Cervical Cysts, Sinuses, and Fistulae in Pediatric Surgery. Surgical Clinics of NA 2012;92(3):583-597
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