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Please explain my ultrasound report.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I would like you to take a look at my ultrasound report from today. The region of interest is superficial to the left parotid corresponds to a 12 x 14 x 5 mm focus of echogenic soft tissue, possibly representing accessory parotid tissue. Within it are some small rounded hypoechoic foci. No increased vascular flow. Multiple normal lymph nodes are noted elsewhere.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

  • Your ultrasound scan report shows that there is a small area in the left parotid region, the upper part of the neck, and this is on a plane above the parotid gland, a salivary gland.
  • This is likely a normal accessory (extra) salivary gland and less likely to be any abnormal or disease condition.
  • To be certain, it is advised to get a needle test called FNAC (fine needle aspiration cytology), in which a few cells will be taken out from the area and examined under a microscope.
  • The other lump mentioned is a lymph node and is not a concern since it is small in size.

Patient's Query

Thank you doctor,

The lump is across from my earlobe at the beginning of my cheek. I have a couple of extra questions. Is it of a normal size if it is an accessory parotid gland? Is it normal to feel and move the gland with your fingers? Does anything in the report indicate malignancy? What are hypoechoic foci in this context? How definitive are FNAC results?

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

  • Accessory glands do not have any size criteria. However, the size mentioned is a small one and, therefore, less alarming.
  • Accessory glands can appear anywhere around the native parotid gland. Feeling an accessory gland separately is possible if it is superficial, as in your case.
  • There are no words supporting malignancy in the report. An FNAC done under ultrasound guidance can give accurate findings. If doubt persists, then a biopsy may be considered.
  • The hypoechoic areas are assumed to be scattered lymphoid tissues, which can occur in salivary glands.
Medically reviewed by iCliniq medical review team
Published At September 26, 2016
Reviewed At May 29, 2026

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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Companion

Ultrasound Report Explanation Companion

How it works

This section breaks down common terms and findings in an ultrasound report, helping you understand what your results mean.

1

Ultrasound
Report

2

Accessory
Gland

3

FNAC
Test

4

Lymph
Nodes

5

Gland
Characteristics

6

Hypoechoic
Foci

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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