6-year-old female with left neck mass. Assess after treatment. Images through the skull base including cavernous sinuses remain within normal limits. Mastoid air cells and middle ear cavities are well pneumatized and unremarkable. Chronic inflammatory sinus disease of all paranasal sinuses are noted.Images through the soft tissues of the neck demonstrate an enhancing mass superficial to the left sternocleidomastoid muscle and immediately posterior and inferior to the left parotid gland. This lesion measures 15.7-mm in AP access and 12 mm in transverse axis (axial image 75 of 171). On coronal image 109 of 229 the mass measures 13.4-mm x 9.8-mm. the mass is well demarcated and demonstrates no evidence of any surrounding edema. The mass appears to be external to the parotid call her on coronal images the mass appears to be at least partially within the superficial lobe of left parotid. A pleomorphic adenoma or a lymph node are the most likely etiology however further evaluation with an MRI is recommended. There is no evidence of inflammatory changes surrounding the mass or the parotid gland.Several bilateral cervical lymph nodes with no enhancement are believed to be within normal range for patient's stated age of 6 years. The bony density at the area of the exam is unremarkable. The vasculature remains intact. Limited images of the apices of the lungs and mediastinum are unremarkable.
1.Enhancing lesion likely within the left parotid gland as detailed.2.There are no old films available for comparison.3.Unremarkable examination of soft tissues of the neck otherwise.4.Extensive chronic sinus disease.