Parotid masses: MR imaging

Twenty patients with surgically proved neoplasms of the parotid gland were evaluated in order to compare contrast material-enhanced computed tomography (CT) and magnetic resonance (MR) imaging. In 14 patients both CT and MR imaging examinations were performed, while in six only MR imaging was performed. Because contrast resolution is better with MR imaging, it appears to be superior to CT in distinguishing the parotid gland from surrounding structures. Four intraparotid lesions were more conspicuous on T2-weighted MR images than on CT scans. MR imaging appears to be superior to CT for evaluating parotid masses and for distinguishing neoplasms of the parotid gland from those originating within the parapharyngeal space.