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Dilatation of the left parotid duct is demonstrated. The previously noted calculus is less well delineated on current MRI sequences but likely corresponds to an ovoid area of low signal posterior to the facial vein, immediately prior to piercing buccinator.
The region of tapering/occlusion of the left parotid duct is well anterior to the parotid gland, corresponding to the anterior edge of the left masseter muscle complex.
The peripheral, extra-parotid facial nerve branches are beyond the resolution of MRI.
Multiple bilateral minimally enlarged cervical lymph nodes noted - likely inflammatory.
Conclusion:
The left parotid duct is dilated, the previously documented calculus less well visualised on MRI.