4 days of progressive right facial swelling and pain.
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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.
Asymmetric developmental enlargement of right submandibular gland is present.
3 case question available
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 aetiologies.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Centre
- Wilson KF, Meier JD, Ward PD. Salivary gland disorders. (2014) American family physician. 89 (11): 882-8. Pubmed