Stephen Bird

Tricky one,

Was there anything palpable?

A few options:

A normal benign lymph node in the gland with a broad fatty hilum

Localised fatty change in the parotid gland as it doesn’t have really crisp margins.

A localised area of sialadenitis seems less likely to me as does a diffuse disease like Sjogrens or IGG4 disease.

An old area of sialadenitis from a previous episode can leave textural changes (Kuttners tumour)

It doesn’t really look like a pleomorph or a warthins but I suppose it needs exclusion.

I would be guided a bit on the clinical presentation and how it felt.

A CT may help or a follow up ultrasound.

If anyone else would like to chime in with a suggestion please help us out!


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