Presentation
4 days of progressive right facial swelling and pain.
Patient Data
Axial and coronal series demonstrate a significantly enlarged, heterogeneously enhancing right parotid gland, compatible with severe right parotitis. There is no evidence of an obstructing sialolith, although variable degrees of ductal ectasia are noted.
The left maxillary sinus is opacified, as is most of the left ethmoidal sinus.
Asymmetric developmental enlargement of right submandibular gland is present.
Case Discussion
The patient was well-appearing and afebrile with stable vitals. The WBC count was within normal limits at 5,500 with 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