Right parotid mass. There is a well-defined, avidly and diffusely enhancing mass with restricted diffusion in the right parotid gland, which measures up to 40 mm. There an ovoid nodule with similar characteristics in the tail of the right parotid gland, which measures up to 18 mm. In addition, there are prominent right level 2 lymph nodes, which measure up to 29 mm. The left cervical lymph nodes are unremarkable. There is a small right sphenoid retention cyst. The orbits and imaged intracranial structures are unremarkable.
The right parotid lesions likely represent lymphadenopathy, which along with additional enlarged right suprahyoid lymph nodes may represent a lymphoproliferative or lympho-reactive process.