Possible right buccal mass. There is a right lateral cheek skin marker. There is an asymmetrically prominent right accessory parotid gland, which appears to be unchanged. There is no evidence of tumors, parotitis, or ductal dilatation. The buccal space contents are otherwise unremarkable. There is herniation of the bilateral sublingual glands via boutonierre defects. The submandibular glands are unremarkable. There is no significant lymphadenopathy in the upper neck. The orbits, paranasal sinuses, and imaged intracranial structures are unremarkable. There may be plaque at the bilateral carotid bifurcations. There is mild multilevel degenerative cervical spondylosis.
Asymmetrically prominent right accessory parotid gland, without evidence of tumors or findings to suggest Sjogren disease otherwise. 