The left parotid duct is significantly dilated measuring up to 8 mm in width.
There is a significant amount of fat stranding in the left masticator and parotid spaces extending inferiorly into the neck and superiorly to the temporal fossa. The left parotid gland is bulky when compared with the right.
An 8 mm x 4 mm calculus is identified in the parotid duct.
There are multiple enlarged cervical lymph nodes along the internal jugular and spinal accessory chains bilaterally, worse on the left. The largest left internal jugular node is seen at level 2 and measures 1.6 cm x 1 cm.
Soft tissue stranding and swelling extending from the deep parotid space into the left parapharyngeal space causes mild compression of and deviation of the oropharynx to the right without evidence of adjacent collection.
No evidence of osteomyelitis. Metallic dentalware causes marked streak artifact.
8 mm obstructive parotid duct calculus with marked parotid duct dilatation.