Citation, DOI, disclosures and case data
At the time the case was submitted for publication Mohamed Mahmoud Elthokapy had no recorded disclosures.View Mohamed Mahmoud Elthokapy's current disclosures
Asymmetry of parotid sizes in a patient without any local or systemic diseases.
The left parotid gland shows an entirely fatty replacement of its parenchyma with multiple small intra-glandular lymph nodes.
The right parotid gland shows preserved soft tissue density with small intraparenchymal fatty foci.
Relatively prominent submandibular salivary glands bilaterally.
Bilateral submandibular and spinal accessory multiple rather prominent lymph nodes are seen likely reactive.
Parotid liposubstitution (fatty replacement) is a natural physiological process, like aging, however, it is subject to variations if associated with clinical conditions, for example, parotid liposubstitution in Sjögren's syndrome.