Female, 71 years old, with a left parotid gland mass increasing in size over three weeks, with pain and weight loss. A slightly heterogeneous, mildly enhancing mass is evident at the left parotid tail measuring 28 x 23 x 25 mm. Multiple similar-appearing but smaller nodules are evident adjacent to the dominant lesion.The lingual tonsillar tissues are slightly prominent but this may reflect normal variation. The aerodigestive mucosa is otherwise unremarkable. The remaining salivary glands are unremarkable. The thyroid as partially visualized is free of obvious focal lesions. Marrow signal characteristics are unremarkable.
A mass is evident at the tail of the left parotid gland with multiple smaller surrounding nodules which may represent lymph nodes. Findings are concerning for a malignant process. This could reflect a primary parotid neoplasm with adenopathy or perhaps lymphoma.