Parotid sialolithiasis

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Left parotid pain

Patient Data

Age: 50 years
Gender: Male
mri
This study is a stack
Axial
T2
This study is a stack
Axial T2
fat sat
This study is a stack
Axial
T1
This study is a stack
Coronal
T2
This study is a stack
Axial
T1
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Info

No definite lesion could be seen on the left parotid gland.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
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Info

A small intraglandular stone is noted at the anterior part of the left parotid gland with no associated duct dilatation.

Case Discussion

Small sialolithiasis may not be identified on MRI especially if there is no ductal dilatation. CT is the modality of choice for sialolithiasis.

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