Acute left parotid sialadenitis
Presentation
Tender and swollen left parotid. Background Sjorgens syndrome. ?abscess ?stone in duct.
Patient Data
Age: 55
Gender: Female
From the case:
Acute left parotid sialadenitis
CT
C+ arterial phase
There is increased density and size of the left parotid and fat stranding adjacent to the left mandbile and maxilla. No abscess or stone seen (although artefact from dental fillings significantly affects image quality). Left posterior triangle lymphadenopathy.
From the case:
Acute left parotid sialadenitis
Ultrasound
Performed the next day.
Dilated left parotid gland duct and a palpable 3x3mm stone is demonstrated in its most distal portion near the duct orifice. Edematous left parotid gland.
Case Discussion
The patient went on to theater and a histologically confirmed sialolith was retrieved.
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