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Sjögren syndrome

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

bilateral parotid enlargement treated as chronic parotitis.

Patient Data

Age: 50 years
Gender: Female
ultrasound

Both parotid and submandibular glands appear relatively enlarged with multicystic changes and reticular pattern.

mri

Both parotid glands are enlarged with innumerable cystic lesions disseminated in both parotid glands, of low signal onT1, hight signal on T2, giving a honeycomb appearance. On moderate heterogeneous enhancement is noted on postcontrast sequences.

Both submandibular glands show a similar but much less prominent involvement as compared to the parotid glands.

Case Discussion

Ultrasound and MRI features are characteristic of Sjögren syndrome.

Follow-up is mandatory in such case due to the high risk of developing a malignant lymphoma

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