Patient with right parotid swelling and pain x 2 years. Now constant and seems localized to tail. Negative for stones on endoscopy. Assesses for neoplasm versus inflammationion. There is a skin marker overlying the right parotid tail, where there is a lobulated enhancing structure that measures up to 15 mm in length and 4 mm in width. There is an also unchanged 5 mm diameter nodule more superiorly along the superficial aspect of the parotid gland. Otherwise, the parotid glands display diffuse fat infiltration and the right parotid gland is slightly larger than the left parotid gland. There is no evidence of radioattenuating calculi or ductal dilatation. There is no evidence of significant cervical lymphadenopathy. The thyroid gland appears are unremarkable. There is an unchanged irregular band of stranding in the left posterior lower neck subcutaneous tissues. The major cervical flow voids are intact. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable.
A nonspecific structure that measures up to 15 mm within the right parotid tail and an unchanged 5 mm diameter nodule along the superficial aspect of the parotid gland may represent a lymph nodes. The rest of the right parotid gland otherwise appears to be unremarkable.