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Unusual Finding in a Chronic Parotid Mass

A 61-year-old woman with a history of a progressively enhancing chronic left cheek mass presented to our institution for evaluation. Physical examination revealed a soft, nontender 8cm nodule with distinctive bluish discoloration in the left parotid region. It demonstrated intermittent fluctuation in size and was fully compressible upon palpation. The patient endorsed regional warmth and skin redness in association with the mass. She denied pain, numbness, weakness, or pulsatile sensation. A computed tomography (CT) examination of the head and neck revealed a left parotid mass and associated regional lymphadenopathy. Magnetic resonance (MR) and angiogram of soft tissue mass of the neck was performed (Figure 1) revealing findings consistent with a venous malformation (VM). Discussion