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Thomas M. Pilkington, BS; James Zinreich, MD; Joseph A. Califano, MD
The Johns Hopkins University School of Medicine, Baltimore, Md

Arch Otolaryngol Head Neck Surg. 2005;131:178.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 54-year-old white man presented with a 3-month history of a left parotid mass. One month after the mass developed, facial paralysis occurred. At that time, the patient presented to his otolaryngologist. A fine-needle aspirate yielded 12 mL of clear nondiagnostic fluid. Of note, the facial paralysis resolved with drainage of the cystic mass. A T2-weighted gradient echo magnetic resonance imaging scan demonstrated a 4 x 3 x 4-cm well-defined, homogeneous lesion with increased signal intensity within both the deep and the superficial parotid lobe (Figure 1). Because clear fluid had been aspirated from the lesion, it was believed to be a cyst. At this point, the patient was referred for further evaluation. The rest of his medical history was unremarkable. He denied swallowing and speaking difficulties as well as constitutional symptoms. He was a nonsmoker who . . . [Full Text of this Article]

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