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Bilateral parotid gland enlargement in Sjögren's disease

Bilateral parotid gland enlargement in Sjögren's disease

Diagnostic evaluation of a patient with Sjögren's disease and bilateral parotid gland enlargement.

(A) Multiple hyperintense foci are seen in the enlarged parotid glands (arrows) on T2-weighted MRI.

(B) Multiple ovoid hypoechoic lesions (arrow) are evident in the left parotid gland parenchyma.

(C) A core needle biopsy of the parotid gland shows a dense lymphocytic infiltrate (arrow) adjacent to normal parotid acinar tissue. Fatty replacement of parotid parenchymal tissue is a normal finding.
MRI: magnetic resonance imaging.
Courtesy of Alan Baer, MD.
Graphic 112229 Version 2.0

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