Figure 1.

A 26-year-old female presented for evaluation with chief complaints of right TMJ popping and pre-auricular pain for one year. She reported a strong family history of both systemic lupus erythematosus and Sjogren Syndrome. C-reactive protein was elevated and anti-nuclear antibodies showed speckled and homogenous patterns in high titers. (a) Dotted line indicates location of pain per patient; (b) CT was intentionally obtained with contrast to evaluate for TMJ and soft tissue abnormalities. Note an intra-parotid lesion lying immediately lateral to the mandibular condyle; (c) Intra-parotid lesion removed and found to be a basal cell adenoma. The patient’s symptoms resolved after treatment.