Pediatric Sonography of the Neck: Characteristic Findings

  • Jürgen WeidemannEmail author
  • Gabriele H. A. Engelcke


Pediatric sonography of the neck should take place in a calm environment. Communication should be adapted to the particular needs of children and parents. It is useful to analyze pathologies in children on the basis of anatomical spaces and morphological (cystic, solid, vascular) components, including lymph node involvement. In particular, although some may also occur in adulthood, pediatric age-related pathologies such as embryological remnants and malformations should be considered, and individual findings may indicate a syndromic disease that may require further investigation.


Childhood lymph node diseases Embryological remnants Vascular anomalies Pediatric neoplasms 

Supplementary material

Video 9.1

Infantile hemangioma of the parotid gland (MP4 11307 kb)

Video 9.2

Cystic malformation of the first pharyngeal arch (MP4 12429 kb)

Video 9.3

Cystic malformation of the first pharyngeal arch (MP4 27217 kb)

Video 9.4

Median cervical cyst (MP4 8377 kb)

Video 9.5

Mucoid retention cyst/ranula (MP4 25523 kb)

Video 9.6

Complete thyroid aplasia (MP4 9758 kb)

Video 9.7

Colloid cyst (arrow) (MP4 24075 kb)

Video 9.8

Ectopic thymus tissue (MP4 13805 kb)

Video 9.9

Dermoid cyst (MP4 10258 kb)

Video 9.10

Reactive lymph node enlargement (MP4 3357 kb)

Video 9.11

Pyogenic lymph node inflammation (MP4 7362 kb)

Video 9.12

Peritonsillar abscess (MP4 9180 kb)

Video 9.13

An inconspicuous palatine tonsil (MP4 7160 kb)

Video 9.14

Atypical mycobacterial infection of a lymph node (MP4 8987 kb)

Video 9.15

Fibromatosis colli (sternocleidomastoid muscle with fibromatosis) (MP4 11287 kb)

Video 9.16

Fibromatosis colli (normal sternocleidomastoid muscle) (MP4 10343 kb)

Video 9.17

Lipoma of the neck (MP4 6834 kb)

Video 9.18

Lipomatous tumor (MP4 8973 kb)

Video 9.19

Neurofibroma (MP4 19194 kb)


  1. 1.
    Koch B, Hamilton BE, Hudgins P, Harnsberger HR. Diagnostic imaging: head and neck. 3rd ed. Philadelphia: Elsevier; 2016.Google Scholar
  2. 2.
    Rumack C, Wilson S, Charboneau JW, Levine D. Diagnostic ultrasound: pediatrics. 4th ed. Philadelphia: Elsevier; 2014.Google Scholar
  3. 3.
    Koch BL. Cystic malformations of the neck in children. Pediatr Radiol. 2005;35:463–77.CrossRefGoogle Scholar
  4. 4.
    Richman DM, Benson CB, Doubilet PM, Peters HE, Huang SA, Asch E, et al. Thyroid nodules in pediatric patients: sonographic characteristics and likelihood of cancer. Radiology. 2018;288:591–9.CrossRefGoogle Scholar
  5. 5.
    Mussa A, De Andrea M, Motta M, Mormile A, Palestini N, Corrias A. Predictors of malignancy in children with thyroid nodules. J Pediatr. 2015;167:886–92.CrossRefGoogle Scholar
  6. 6.
    Avula S, Daneman A, Navarro OM, Moineddin R, Urbach S, Daneman D. Incidental thyroid abnormalities identified on neck US for non-thyroid disorders. Pediatr Radiol. 2010;40:1774–80.CrossRefGoogle Scholar
  7. 7.
    ISSVA Classification of Vascular Anomalies ©2018 International Society for the Study of Vascular Anomalies. Available at Accessed 16 Sept 2018.
  8. 8.
    Restrepo R, Oneto J, Lopez K, Kukreja K. Head and neck lymph nodes in children: the spectrum from normal to abnormal. Pediatr Radiol. 2009;39:836–46.CrossRefGoogle Scholar
  9. 9.
    Golriz F, Bisset GS 3rd, D’Amico B, Cruz AT, Alade KH, Zhang W, Donnelly LF. A clinical decision rule for the use of ultrasound in children presenting with acute inflammatory neck masses. Pediatr Radiol. 2017;47:422–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Pediatric RadiologyKinder- und Jugendkrankenhaus Auf der BultHannoverGermany

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