ANAMNESIS / SYMPTOMS:
The patient reports about a relapsing tumescence in the area of the right parotid gland. At the time of examination the gland is very tender and the patient complains about a persistent pain.


FINDINGS:
Bordering on the masseter muscle and the lower jaw bone is a hyperechoic reflection with distal signal extinction visible. Its extent is approximately 8 mm. Distal of it shows a big and almost echofree share that continues into the hypoechoic changed parotid gland.


DIAGNOSIS:
Acute sialadenitis of the right parotid gland with sialolithiasis as the underlying disease. The stasis of saliva in the parotid duct leads to its dilation.



Informations on the internet:

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