86-year-old male with pain in cheek. Patient states left sided pain. Evaluate for submandibular gland or parotid gland stone. Right parotid gland appears unremarkable. Adjacent, prominent but morphologically normal lymph nodes identified.Left parotid gland with no sialectasis. In or immediately adjacent to the inferior aspect of the left parotid there is dense rim calcification measuring approximately 7 mm in transverse diameter. This obscures underlying tissue.
Rim calcified mass adjacent to inferior left parotid. The appearance is somewhat unusual but has been reported in pleomorphic adenoma. Other parotid masses typically produce only coarse calcifications.This could also be inflammatory or vascular in nature.This could represent a calcified lymph node.