case_images: PMC6295750_01
case_images: Axial contrast-enhanced CT images from 2008: An enlarged left intraparotid lymph node with central hypodensity is suspicious for tumor infiltration (a). An additional intraparotid lymph node can be seen, and in retrospect, a left oropharyngeal nodule can also be seen (b).
case_images: 10.1177_2050313X18818712-fig1.jpg
case_images: PMC6295750_01_10.1177_2050313X18818712-fig1.jpg
case_images: fig1-2050313X18818712
case_images: His past medical history was significant for hypertension, dyslipidemia, atrial fibrillation, and WT of the left parotid gland in 2008 (Figure 1(a) and (b)) for which he received a left superficial parotidectomy and developed Frey syndrome (Figure 1). He was currently smoking with a history of 27.5 pack years. A more careful review of pre-parotidectomy imaging revealed the presence of the oropharyngeal lesion at that time (Figure 1(b)).
case_images: Further evaluation of MRI images from 2014 reveal the left oropharyngeal nodule. Fat-saturated T2 (a), pre-contrast T1 (b), and post-contrast T1 (c) show a peripherally enhancing 8 mm nodule.
case_images: 10.1177_2050313X18818712-fig2.jpg
case_images: PMC6295750_01_10.1177_2050313X18818712-fig2.jpg
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case_images: Magnetic resonance imaging (MRI) studies of the head and neck showed a small, submucosal ovoid shaped nodule, 8 mm in diameter, with a peripheral ring of enhancement of the left oropharyngeal airway (Figure 2(a)-(c)) (Figure 2).
case_images: Warthin tumor of the minor salivary gland. Microscopic examination (100x) shows bilayered oncocytic columnar epithelium with papillary architecture (a) and supporting fibrovascular stromal core with chronic inflammatory cells (b).
case_images: 10.1177_2050313X18818712-fig3.jpg
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case_images: fig3-2050313X18818712
case_images: Surgical pathology of this specimen was reported as WT (Figure 3(a) and (b)) (Figure 3).