Stephen Bird

Hi Xue,

I have not seen this before.

It is obviously a diffuse process and my differentials would be that this is an appearance following a prior event of sialadenitis. Given the bilateral nature and multi gland appearance post viral sialadenitis would seem most likely.

I also would consider an IGG4 differential diagnosis as it is multi gland locational.

I will send these images to Anil Ahuja and see if he has seen it before.

If anyone knows the answer it will be Anil,


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