AN 11-MONTH-OLD boy had recurrent episodes of left facial swelling with upper respiratory infections. A pit was noted over the parotid region at birth. These episodes of swelling responded to oral antibiotic therapy. The patient presented for evaluation of a persistent slight swelling of the left parotid gland. Three months before evaluation, an abscess had formed under the pit, requiring incision and drainage with a prolonged course of oral antibiotics. Figure 1 and Figure 2 are axial computed tomographic scans of the parotid gland. Figure 3 is an intraoperative view of the region, with the arrow indicating the facial nerve.
Ho S, Lee D, Bluestone C. Imaging Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2000;126(6):793. doi: