Axial view of CT scan at initial presentation. There was significant enlargement and uniform enhancement of the right submandibular gland representing sialadenitis without sialolithiasis with severe surrounding inflammatory changes and mass effect upon the upper aerodigestive tract with severe deviation to the left. Multiloculated fluid (white arrows) was noted within the right aspect of the neck extending into the upper aerodigestive tract in several spaces, including the submandibular, submental, sublingual, paratracheal, and retropharyngeal spaces.