CT
Axial asymmetry in a restless and claustrophobic patient.
There is parotomegaly with a heterogeneous density. Specifically, there is a fatty replacement, with punctate, small and medium calcifications/ sialoliths. There is a small sialolith within the distal left Stensen's duct with mild proximal duct distension, especially in comparison to the asymptomatic right parotid gland and duct. The submandibular glands are also heterogeneous in appearance, however, there are no calcifications/sialoliths.
There is a right sided mastoid effusion and opacified right middle ear cavity.The MRI identified left mastoid effusion is poorly appreciated.