A 43-year-old male smoker presented with a left infra-auricular mass persisting for three years. His past medical and surgical history was unremarkable.
Ultrasound of the left parotid gland showed a well-defined, oval, hypoechoic, and hypovascular lesion with posterior enhancement, located in the superficial lobe of the left parotid, measuring 20 × 11 mm. The findings were suggestive of pleomorphic adenoma. Multiple benign-appearing lymph nodes were noted on both sides, predominantly on the left, with the largest measuring 20 × 10 mm. The right parotid and bilateral submandibular salivary glands were normal. The thyroid gland was also normal, with no detected lesions.
A tru-cut biopsy of the left parotid lesion confirmed the diagnosis of pleomorphic adenoma.