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CLINICAL HISTORY: A 77-year-old male presented with left facial nerve palsy and a history of a painless left parotid lump for 18 months and a recent increase in size. He had no systemic symptoms and no relevant past medical history. Ultrasound of the left parotid revealed a 2 x 3cm irregular mass with calcification and internal vascularity and fine needle aspiration (FNA) was performed.

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