Left submandibular lymphadenopathy: tender left lymphadenopathy. MDS progressed to AML, admitted for initiation of chemotherapy. There is an enlarged and hyperenhancing left level 1B lymph node that measures up to 20 mm, with inflammatory changes in the surrounding fat planes. There is no evidence of abscess or hematoma. There is no significant lymphadenopathy in the rest of the neck. The salivary glands and thyroid are unremarkable. The bone marrow appears to be diffusely heterogeneous. The imaged intracranial structures and orbits are unremarkable. There is a retention cyst in the left maxillary sinus.
1. Findings suggestive of left submandibular lymphadenitis and associated cellulitis, but no evidence of abscess or hematoma.2. The diffusely heterogenous bone marrow appearance may be related to the hematological malignancy.