Possible left submandibular gland sialadenitis. Per EPIC: enlarged left submandibular gland x 6 months. The gland increases in size with eating and then goes down in about 15 minutes. He states that there is a feeling of pressure when the gland enlarges but not much pain. There is some tenderness related to increase in pressure when the gland enlarges. The left submandibular gland is not particularly enlarged and does not appear to be inflamed. There is no evidence of salivary ductal dilatation. The right submandibular and bilateral parotid glands are unremarkable. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid gland appears to be unremarkable. There are small bilateral maxillary sinus retention cysts. The orbits are unremarkable. There is a nonspecific partially empty sella. There is multilevel degenerative cervical spondylosis with mild indentation of the spinal cord by disc-osteophyte complexes at C4 through C7.
No evidence of left submandibular gland sialadenitis.