Ultrasound of a 72-year-old man with right submandibular MALToma presenting as bilateral parotid and submandibular gland swelling for 6 months. The right submandibular gland shows replacement by multiple small hypoechoic nodules of similar size (open arrows) separated by echogenic strands (arrows). The appearance overlaps with that of Sjögren’s syndrome without a dominant nodule to indicate this was MALToma