Diffuse skin and subcutaneous fat planes thickening with stranding as well as diffuse enlargement and edema of left parotid gland. It has an ill-defined hypodense area related to deep aspect of the superficial lobe. The lesion shows streaky irregular outlines and central area of low density (collection) causing posterior enhancement. The lesion measures about 2.8 x 1.5 cm in diameter. A reactionary multiple enlarged cervical and submandibular reactionary lymph nodes are noted. The picture of diffuse left side parotitis with area of low echogenicity as described likely represents parotid abscess formation.