Presentation
Bilateral parotid glands enlargement.
Patient Data
Age: 60 years
Gender: Male
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MRI shows multiple bilateral parotid lesions, slightly hyperintense on T1 compared to CSF and hyperintense T2, compatible with cysts with highly proteinic content. Postcontrast sequence is not shown, but there was no enhancement.
Case Discussion
It is also worth noticing that the submandibular glands are atrophic. The patient wasn't known for Sjögren's syndrome, but this hypothesis was submitted to the treating physician.
HIV must always be excluded with these types of lesions, since lymphoepithelial cysts can have this appearance. Bilateral cystic Warthin tumors are highly improbable.
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