Salivary Calcifications and Cysts
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With the parotid gland,
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this is not an atypical finding,
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and that is that you have both calcifications
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around the periphery of the
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parotid gland that are unlikely
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to represent ductal stones.
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This is probably calcification within the acini of the
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actual glandular tissue of the parotid gland,
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as well as potential stones within the ductal system.
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So here you can see, bilaterally, that there
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are these focal areas of calcification.
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And this situation may be an obstructing stone with
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a cystic dilation of the ductal system here.
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So...
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and there is an overlying inflammation as well,
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and somewhat irregular nature to both
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parotid glands in this patient.
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So when you have these multiple little fine
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calcifications in the gland,
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as well as cysts within the gland,
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this may represent something like Sjogren's syndrome
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as opposed to just ductal
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calcification as the etiology for the findings.
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
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