ANAMNESIS / SYMPTOMS:
A 19 year old patient shows a tumescence in the region of the left parotid gland. It occurred some months ago and is at some times painful. The pain is not connected to the ingestion of food. On an x-ray of the thorax bihilar lymph node hyperplasia is visible.



FINDINGS
:
The right parotid gland is altered irregularly in its echogenity on the sonogramm. It is altogether hypoechoic with hyperechoic shares. The gland is reduced in size. The masseter muscle and the lower jaw bone are without pathological findings.


DIAGNOSIS:
The patient is suspected of suffering from a sarcoidosis of the right parotid gland.


Informations on the internet:

1) Medicine Worldwide
2) AHC-Consilium