In the superficial parotid lobe there is a well-defined round mixed solid/cystic lesion. It is slightly compressible, and is tender. Equivocal internal vascularity. Normal intraparotid lymph nodes are noted.
Sterile technique. Under ultrasound guidance the cystic component was targeted and small volume of pus was aspirated. The solid areas were targeted for a further 3 x 25G FNAs.