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My mother is 58 years old and she has a swelling under the right ear. Doctor suggested to do FNAC correlation and the report shows as 1" Thick walled predominantly cystic lesion with thick irregular eccentric solid component domentrating vascularity in the superficial lobe of right parotid gland. Finidng's suggest possibility of cystic neoplasm likely Warthin's tumor. Also the blood report shows some issues in thyroid gland (both lobes of thyroid show heretoechoiec nodules with cystic areas and coarse and microcalcifications) Then we decided to do a surgery to remove that rumor. As part of this she undergone a MRA NECK. Following are the observations in the report. 1) parotic Glands: A well defined heterogeneous lesion measuring 3x3. 8x4 cm is noted centred in the superficial lobe of the right parotid gland. Medically the lesion is seen extending posterior to the ramus of mandible displacing and partly reaching in tot the deep lobe of right parotid. posteriorly it is abutting the right SCM and superiorly reaching just below the level of EAC. The lesion shows heterogeneous internal solid area literally. T1 hyperintense signals are noted within the cystic components with fluid level. No evidence of extension into the adjacent carotid, masticator or para pharungel spaces. The retromandibular vein is effaced. Facial artery branches show no frank evidence of infiltration. 2) Lymph nodes: Few small subcentimeteric bilateral station 1b and station 2 cervical lymph nodes are noted, largest measuring 7 mm in short axis. 3) Nasopharynx: Fossa of Rosenmuller and torus tubarius appears normal. It does not show any focal lesion. 4) Thyroid: Thyroid gland is normal is size, shape an position. SMALL nodules in the left lobe of thyroid. Paranasal sinuses: Subtle mucosal thickening in the maxillary sinuses. As per the result shows 1) Is it necessary to do a surgery to remove right parotic tumor. 2) As per the MRA report does thyroid gland has any problems? Report doesn't mention about the nodules are benign or cancerous. Please suggest is it required to do a surgery for this?


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