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Parotid abscess (residual)

Findings:
Minimal, only partially encapsulated fluid is seen along the posterior aspect of the right parotid tail, measuring approximately 10 x 8 x 17 mm. The fluid collection shows mild peripheral enhancement on the postcontrast study.
T2 hypoattenuating fibrotic scarring is seen in the subcutaneous tissue adjacent to the right parotid tail, postinflammatory in nature. No evidence of any solid mass lesion in the parotid glands.
Non-specific lymph nodes are seen in both submandibular regions.
The submandibular and thyroid glands are unremarkable.

The tongue and the floor of the mouth have a normal appearance. The retromolar trigone is unremarkable.
The pharyngeal and glottic regions are normal. The parapharyngeal fat space is normal. The tonsils and adenoids are normal.

The imaged brain parenchyma is unremarkable. The paranasal sinuses and the mastoid air cells are clear. Nasal septal deviation to the left with left-sided bony spur is seen.

No bony abnormality is seen. The craniocervical junction and spinal canal appear patent.

Conclusion:
Minimal, residual inflammatory fluid collection in the posterior aspect of the right parotid tail with adjacent scarring and fibrotic changes.
No solid or suspicious lesions.

Updated on 10. April 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.