ANAMNESIS / SYMPTOMS:
A 3 year old boy shows a bilateral, at some times painful swelling of the cheeks. The swelling occurred for the third time within a year.



FINDINGS
:
The parotid gland is clearly enlarged and softened in its structure on both sides. The parenchyma of both glands is inhomogenous echoic with diffusely spreaded hypo- and hyperechoic shares. Altogether it is hypoechoic altered. The pathological findings are limited to the parotid gland. The masseter muscle, the lower jaw bone and the sternocleidomastoid muscle show no pathological findings.


DIAGNOSIS:
The patient is suspected of having a chronic recurent sialadenitis.


DIFFERENTIAL DIAGNOSIS:
In adults as a differential diagnosis an auto-immune disease should be considered.



Informations on the internet:

1) Amersham Health
2) Medecoinfo
3) AHC-Consilium