 There is a T2 hyperintense, enhancing lesion involving the right inferior medial aspect of the right parotid gland measuring up to 16 x 18 x 26 mm in the AP, transverse, and craniocaudal dimensions. There foci of low T2 signal within the lesion suspected to represent phleboliths. There is deep extension of part of the lesion through the stylomandibular tunnel. This lesion is present on prior MRI neck from 4/8/2015 without evidence of interval enlargement.There are no suspicious masses or evidence of pathologic enhancement elsewhere in the neck. There are scattered subcentimeter lymph nodes which are nonspecific. No pathologically enlarged or necrotic lymph nodes are seen. There is a small polyp or mucous retention cyst involving the right medial aspect of the maxillary sinus. Tiny nodules involving the left thyroid lobe and isthmus are noted. Multilevel degenerative changes are seen in the cervical spine. There is abnormal T2 cord signal involving the left aspect of the cord compatible with sequela of prior injury, and better assessed with dedicated cervical spine MRI..
1. Right parotid mass with T2 hyperintensity and enhancement is favored to represent a venous malformation. There are small round foci of low signal within the lesion suspected to represent phleboliths, which can be confirmed with CT.2. T2 hyperintensity involving the left aspect of the cervical cord is compatible with sequela of prior injury and also present on prior study.