83-year-old female prethyroidectomy for multinodular goiter with right parotid mass. Within the mid portion of the right parotid gland is a 0.7 x 1.0 x 1.2 cm mass. Although this appears mildly complex cystic on this exam, configuration is suggestive of lymph node. On the prior CT, the appearance was consistent with a lymph node. Incidentally noted is a 0.5 x 0.8 x 1 cm probable cyst in the right submandibular gland.
Right parotid mass which by ultrasound appears to be complex cystic although still could represent a lymph node.CLINICAL INFORMATION AND PRE-OPERATIVE DIAGNOSIS: Right parotid massPOST-OPERATIVE DIAGNOSIS : SameCOMPARISON: Outside CT neck from 11/27/2015 and outside ultrasound of the thyroid from 9/25/2015OPERATORS: Doctors: I, the attending physician, Dr. Paushter, performed the entire procedure.TECHNIQUE: Following a discussion of the procedure with the patient and her daughter, including its risks, benefits, alternatives and steps to prevent infection, an informed written consent was obtained and documented in the patient's chart. The time-out form was completed to confirm patient identity and side/type of procedure.Localizing US demonstrated 0.7 x 1.0 x 1.2 cm right parotid mass which may be complex cystic.. The skin over the target area was cleansed with chlorhexidine. Transducer was sterilely sheathed. Local anesthesia was obtained using 1% lidocaine, superficially and at depth. Using aseptic technique, and continuous ultrasound guidance, the lesion was sampled using 25 gauge needles. 3 fine needle aspirations were performed.Cytology was present to confirm specimen adequacy. Specimen was handed to cytology. The patient tolerated the procedure well without immediate complications. Routine post procedure instructions were communicated to the patient.COMPLICATIONS: NoneESTIMATED BLOOD LOSS: Less than 5 cc. An adhesive bandage was placed on the patient’s skin.