Syphilis der Tonsillen

Tonsillar

syphilis mimicking carcinoma. Axial post-contrast neck CT demonstrating a 2.4 x2 cm isodense left tonsillar mass (arrow) with an ill-defined margin concerning for carcinoma.

Tonsillar

syphilis mimicking carcinoma. Coronal neck CT demonstrating a 2.4 x 2 cm isodense left tonsillar mass (arrows) with an ill-defined margin concerning for carcinoma.

Tonsillar

syphilis mimicking carcinoma. Axial CT of an ipsilateral cervical nodal conglomerate (dotted arrows) predominantly at level II measuring 3.6 x 2 x 4.7 cm, exerting mass effect on the internal jugular vein. The nodes have areas of central necrosis.

Tonsillar

syphilis mimicking carcinoma. Coronal view of an ipsilateral cervical nodal conglomerate (dotted arrows) predominantly at level II measuring 3.6 x 2 x 4.7 cm, exerting mass effect on the internal jugular vein. The nodes demonstrate central necrosis.

Tonsillar

syphilis mimicking carcinoma. Maximum intensity projection image showed increased 18F-FDG uptake in the left tonsilar area, left cervical lymph nodes and left adrenal fossa (arrows).

Tonsillar

syphilis mimicking carcinoma. Axial PET-CT images reveal asymmetric 18F-FDG uptake in the left tonsil (SUVmax 11.42) and left cervical nodes.

Tonsillar

syphilis mimicking carcinoma. Axial PET-CT demonstrating multiple hypermetabolic foci in cervical lymphadenopathy (SUVmax of 19.07).