Left neck merkel cell carcinoma. There is a heterogeneously enhancing mass in the left parotid gland, which measures up to 35 mm. There is extension of a small amount of tumor into the overlying subcutaneous tissues. There is an additional nodule in the left parotid gland inferior to the mass that measures up to 18 mm. The other salivary glands are unremarkable and there is no evidence of tumor or significant lymphadenopathy elsewhere in the neck. The osseous structures are unremarkable, aside from multilevel degenerative cervical spondylosis. The imaged intracranial structures are unremarkable. There is mild mucosal thickening in the left frontal and ethmoid sinuses.
Findings compatible with metastatic Merkel cell carcinoma in the left parotid gland.