Imaging is an indispensable tool in patients with clinical suspicion o
f infrahyoid neck disease. CT and MR imaging can establish a positive
diagnosis by showing a true mass (versus a pseudomass). In addition, b
y defining the exact space of origin of the lesion and its characteris
tics (CT density, MR signal, homo- or heterogeneity, contour, contrast
enhancement), imaging can predict the correct diagnosis. Because it o
ffers multiplanar, multiparameter information, MR imaging, performed w
ith a dedicated coil and appropriate artifact-reduction techniques, us
ually is the modality of choice.