Pleomorphic adenoma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Gradual painless swelling of the right parotid gland.

Patient Data

Age: 50 years
Gender: Male
mri

There is a 20*22 mm well-defined mass within the right parotid gland superficial lobe.

The mass shows an iso-signal intensity to the muscles on T1WI, high signal intensity on T2WI, and heterogeneous enhancement following IV contrast.

On DWI, it appears of high signal with high ADC (no restricted diffusion).

The left parotid gland appears normal.

No cervical lymphadenopathy.

Case Discussion

Features are characteristic of a pleomorphic adenoma which was subsequently excised and confirmed histologically.

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