The parotid glands bilaterally are enlarged with lobulated appearance, diffuse hypoechoic texture and thickening of interlobular septae as well as increased vascularity. No stones or ductal dilatation.
Multiple enlarged cervical lymph nodes are noted with heterogeneous hypoechoic texture, largest are both jugulodigastric nodes, the right one measures 3.7 x 0.9 cm, in keeping with cervical lymphadenopathies.