A 67-year-old Asian woman presented to her local ophthalmologist because of swelling of the left upper eyelid. Surgical drainage was performed, but the swelling persisted. Two months later, nontender preauricular fullness was noted, which prompted the patient to seek a second opinion. In the interim, magnetic resonance imaging of her orbit and parotid glands revealed focal enhancement in the left upper eyelid and superficial lobe of the left parotid gland. She was referred to us for diagnosis and treatment.