 There is persistent mild diffuse prominence of the tongue base. However, there is no evidence of discrete tonsillar mass lesions. The parapharyngeal spaces, retropharyngeal space, and nasopharynx appear to be intact. The larynx appears unremarkable. There is no significant lymphadenopathy in the neck. There are multiple punctate nonenhancing T2 hyperintense foci and a dominant nonenhancing T2 hyperintense lesion that measures up to 25 mm in the left parotid gland. There is also a nonenhancing T2 hyperintense subcentimeter left parotid lesion. The submandibular glands are unremarkable. The thyroid gland appears to be mildly atrophic and contains a subcentimeter nodule in the left lobe. There is mild multilevel degenerative spondylosis of the cervical spine. The imaged intracranial structures are unremarkable.
1. Persistent mild prominence of the tongue base may represent lymphoid hyperplasia.2. Cystic changes in the parotid glands, right greater than left, are compatible with Sjogren disease.