0:00

So the next one had a patient with bilateral Cy Adenitis.

0:03

So this was actually best seen on the T one and the T two weighted images,

0:06

if I recall. So this is a nice example here. When you look at the parotid gland,

0:11

you can see there's these multiple lesions involving the parotid gland.

0:14

See these little cysts right here? And when you look even closer,

0:17

you can see there are lots of little tiny cysts here. So this is the patient.

0:23

There we go. See these guys right here?

0:26

So those are multiple cysts involving the parid gland.

0:29

So this was a patient that had sil adenitis.

0:32

So the term that we really use for something like this is really sylectus

0:36

because the, these are actually little dilatations of the parotid asi.

0:41

Those little kind of small little collecting ggl globules are located in the

0:45

parotid gland. So that's actually syl sylectus.

0:49

The reason that it's cause is due to an inflammation, and that's syl adenitis.

0:54

And then the reason these patients get syl adenitis is because they may have an

0:58

autoimmune disease and this autoimmune disease would be Sjogren's disease.

1:02

So just realize that there is a difference in terminology when you talk about

1:07

sylectus sitis, and then the thing that causes it,

1:11

which would be something like Sjogren's disease or, um, other type of,

1:15

uh, uh, auto, uh, autoimmune disease. So, any questions with that one?

1:22

So Sjo three's disease has a big, uh,

1:25

usually they were affecting the tic gram.

1:28

How about the subular or any other survival?

1:32

The decrement gram with everything. Order glands,

1:37

Yes. So that's a very good question. So if you, in this case,

1:40

if you actually look at the submandibular glands,

1:43

look how tiny the submandibular glands are. See how small they are here?

1:47

Yes.

1:48

So yes. So they involve basically any of the salivary glands, and in this case,

1:54

the submandibular glands are shrunken.

1:57

So that's indicative of a chronic sitis.

2:01

And how about the benign lymph?

2:03

Four epithelial lesion related to X?

2:06

Because the imaging features look about similar.

2:10

Um, no, the s well, yeah, it, let me put it this way.

2:15

The, the lymph epithelial cyst that I've seen, I mean,

2:18

I don't see nearly as many as I used to 20 years ago when we were in the AIDS

2:22

epidemic. So when we had aids,

2:24

one of the three findings that you would end up seeing in H I V were, um,

2:29

increased adenoidal tissue involving the, the, the nasal pharynx.

2:33

You would see sort of shoddy lymph nodes that didn't necessarily have to be

2:36

really enlarged, but there were sort of a lot of them.

2:39

And the finding final findings were the lymph epithelial cyst,

2:42

and they tend to be really, really big. So in general,

2:45

the lymph epithelial cyst that I will see now tend to be bigger.

2:50

And I think now they changed the name. You know, we always change names.

2:54

I think now they're called B L E C,

2:56

bilateral lymph BBLs,

2:59

bilateral lymph epithelial lesions, I think what they're called BLEs.

3:04

So it kind of drives me crazy that, you know,

3:06

they kind of change the names on these, but um,

3:09

they tend to be larger as opposed to these smaller ones which are more

3:13

indicative of sort of the, the dilatations of the distal collecting, uh,

3:18

uh, ducts.

3:21

This kind of patient with Sjogren's syndrome,

3:23

there's a tendency to become lymphoma. So how,

3:28

how do we detect it for this kind of patient to look for any enhancement?

3:32

Yeah, enhancing masses. It's pretty rare. Okay. Yes, but you're exactly right.

3:37

You know,

3:37

if you do see something and then you see a dominant enhancing mass within the

3:42

prodi gland, then you have to think of lymphoma. Very good.