Objective: This study investigates the application of spiral Computed Tomography (CT) and multidimensional reformations in detecting and characterizing pediatric neck masses, including congenital, developmental, infectious, neoplastic, and vascular types. Material &Method: Conducted as a prospective study, it involved 26 pediatric patients with neck masses at GMC Aurangabad(Chhatrapati Sambhajinagar). Patients who presented with symptoms such as palpable neck lesions, underwent CT evaluations. Prior to imaging, patients observed a fasting period of at least four hours.