Review Article

Nasopharyngeal Tuberculosis: Epidemiology, Mechanism of Infection, Clinical Manifestations, and Management

Table 4

Summary of CT/MRI findings [10, 44].

SiteCT/MRI findings

NasopharynxPolypoid mass
Diffuse thickening of the mucosal wall of nasopharynx
Less extension outside the nasopharynx
Less invasion into surrounding structures such as prevertebral muscle, nasal cavity, and oropharynx
Lesion necrosis especially within small nasopharyngeal lesion
Destruction of striped feature

Lymph nodeHomogeneous contrast enhancement (early phase)
Peripheral rim enhancement with central necrosis (progression phase)
Fibrosis and calcification may have homogeneous appearance without enhancement (late phase)
Shortest axial diameter ≥ 5 mm for retropharyngeal LN and ≥10 mm for LN of neck