Right parotid mass follow up. There is a fairly well defined, but heterogeneous mass in the superficial right parotid gland that measures up to 35 mm. There is suggestion of what may represent a hilum within the mass. The mass appears to have increased in size since 2013, accounting for differences in technique. The other salivary glands are unremarkable. There is no significant upper cervical lymphadenopathy based on size criteria otherwise. There is a small left vallecular retention cyst versus secretions. There is diffuse paranasal sinus mucosal thickening. There is a left inferior orbital wall blow out fracture, as well as a defect in the right lamina papyracea. There is probable plaque at the bilateral carotid bifurcations. There appears to be patchy high T2 signal in the pons and cerebral white matter, which likely represent chronic small vessel ischemia. There is multilevel degenerative cervical spondylosis.
The right parotid mass has increased in size since 2013.