Acute parotitis

Case contributed by Matthew Hung

Diagnosis almost certain

Presentation

9 year old girl presented with 4 days of progressive right facial swelling and pain.

Patient Data

Age: 9 years old

Gender: Female

From the case: Acute parotitis

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Axial C+ arterial phase

Axial and coronal series demonstrate severe right parotitis with significant enlargement of heterogeneously enhancing right parotid gland. There is no evidence of calcified obstructing calculus although variable degrees of ductal ectasia are noted. Asymmetric developmental enlargement of right submandibular gland is present.

3 case question available

Case Discussion

The patient was well-appearing and afebrile with stable vitals. The WBC count was within normal limits at 5.5. with a lymphocytic predominance. The patient was discharged from the ED with clindamycin to cover for possible bacterial etiologies.

This case was submitted with supervision and input from:

Soni C. Chawla, M.D.
Associate Professor
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center