Bilateral Parotid Tuberculous Lymphadenitis Mimicking Warthin Tumor in an Elderly Male: A Case Report

Tuberculosis involving the parotid lymph nodes is rare and can clinically and radiologically mimic benign neoplasms such as Warthin tumor, particularly when bilateral. We present the case of a 72-year-old male with bilateral parotid swellings, initially suspected to be Warthin tumors based on magnetic resonance imaging (MRI) findings showing well-defined, cystic lesions with focal solid components and central necrosis. Histopathological examination following ultrasound-guided biopsy revealed caseating granulomas consistent with tuberculous lymphadenitis. This case highlights the importance of including infectious etiologies such as tuberculosis in the differential diagnosis of bilateral parotid lesions, especially in endemic regions.