ABSTRACT This case report describes a rare spontaneous pseudoaneurysm of an external carotid artery (ECA) branch presenting as a parotid mass in a 65‐year‐old female. Initial imaging for right sixth cranial nerve palsy incidentally identified a 3 cm parotid lesion. Doppler ultrasound revealed a pseudoaneurysm, confirmed by computed tomography (CT) angiography, demonstrating thrombosed areas and ruling out a true aneurysm. Conservative management was pursued with no progression on follow‐up imaging. This case highlights the diagnostic value of Doppler ultrasound in differentiating vascular anomalies and reinforces the need to consider pseudoaneurysms in the differential diagnosis of parotid masses for timely management.
Bozer et al. (Wed,) studied this question.
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