Ultrasound of the neck in 7 sweeps

rhian.rhys@wales.nhs.uk
Ultrasound of the neck in 7 sweeps

Rouviere AJCC
Ultrasound of the neck in 7 sweeps

4
7

5
 1: submental

•chin to hyoid
•midline

1
 Sweep 1: submental

hyoglossus genioglossus

mylohyoid geniohyoid
Sweep 1: submental anatomy

m hg
m

mylohyoid
h
Sweep 1: submental anatomy

submandibular duct

mylohyoid

hyoglossus
 Sweep 1: submental

dg dg
gh gh

gg gg
sl
sl
 Sweep 1: submental

Ia

dg
dg
dg

gh gh
 Sweep 1: submental

mh

art

hgloss
hgloss
 Sweep 1: submental

m
h
gh

gglossus
 Sweep 2: submandibular

•Chin to angle of mandible

2
•Follow mylohyoid

1
 Sweep 2: submandibular

dg ant

mh

dg post
hg
Sweep 2: submandibular

dg

mh
sl

mh
Sweep 2: submandibular
Sweep 2: submandibular

mh
hg
Sweep 2: submandibular

mandible
Ib

mh

hg
 Sweep 3: parotid

•EAM to angle of mouth

2
•Follow parotid duct

1
Sweep 3: parotid anatomy
 Sweep 3: parotid

mass

dg post

mz * *

mast
 Sweep 3: parotid

par
smg

retromandibular vein
 Sweep 3: parotid

buccinator - cheeks relaxed

 Sweep 3: parotid

buccinator - cheeks relaxed

buccinator - cheeks puffed-out m

 Sweep 3: parotid
buccal fat pad

*
*
 Sweep 3: parotid

ma

Buccal fat pad

 Sweep 4: deep cervical chain

•Angle of jaw to scj

2
•Follow IJV

4
 Sweep 4: deep cervical chain

smg

*
*

JDG node
Sweep 4: deep cervical chain

smastoid

thyroid
*

X
III
oe

vertebra
 Sweep 4: deep cervical chain

st scm

transverse long

omohyoid
 Sweep 5: transverse cervical

•Scj to acj
2
•Follow clavicle
•Sternomastoid to trapezius

5
Sweep 5: transverse cervical

sm
sc m

sc ant

brachial plexus elements

Sweep 5: transverse cervical

ant tp

th
C6 post tp

vertebra
Sweep 5: transverse cervical

C6

C7
 Sweep 6: posterior triangle

•Acj to mastoid tip

2
•Follow ant border trapezuis

5
 Sweep 6: posterior triangle

trapezius
*
* * *
*

lev scap
t process
 Sweep 7: anterior neck

•Hyoid to sternal notch

2
•Thyroid and Larynx

4
7

5
Sweep 7: anterior neck
Sweep 7: anterior neck - anatomy

* **

pre epiglottic fat

Sweep 7: anterior neck - anatomy

* *
* *

false vocal cords true vocal cords

paraglottic fat
Sweep 7: anterior neck - anatomy

* *
* *

paraglottic fat
Sweep 7: anterior neck

strap
strap

vallecullae

epiglottis
Sweep 7: anterior neck

strap strap

*
* *
epiglottis

**pre epiglottic fat **

 Sweep 7: anterior neck
thyrohyoid membrane
thyroid

hyoid ˚ ˚

*
*
*

**pre epiglottic fat **

 Sweep 7: anterior neck

˚ ˚
˚ ˚ ˚ ˚
˚ ˚ ˚ ˚
˚
˚ * * ˚ ˚

hypopharynx arytenoids

**paraglottic fat **
false vocal cords true vocal cords
 Sweep 7: anterior neck

˚ ˚
˚
top
bottom
* * *

**paraglottic fat **
 Sweep 7: anterior neck

str
str

tr
*

thymus
Ultrasound of the neck in 7 sweeps

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