Recurrent pleomorphic adenoma right parotid gland status post multiple re-excisions. There are postoperative findings related to right parotidectomy. There are numerous nodular, high T2, enhancing lesions within the right parotid space and adjacent parapharyngeal space. Collectively, the bulk of the lesions measure up to approximately 3.5 cm. There is minimal narrowing of the oropharyngeal airway and associated displacement of the right carotid and internal jugular flow voids. The left parotid gland and submandibular gland are intact. There is no significant cervical lymphadenopathy. The thyroid gland appears unremarkable. The imaged intracranial structures are unremarkable. The osseous structures and partially imaged intracranial structures are unremarkable.
Findings compatible with clusters of recurrent salivary gland neoplasm in the right parotidectomy bed and parapharyngeal space.