Figure 3: A-Plain CT coronal shows mildly enlarged bilateral submandibular salivary glands
B- Post contract CT coronal shows mildly enlarged bilateral submandibular salivary glands with
heterogenous enhancement
Patient was admitted in ED observation unit and rheumatology team was consulted. Based on the association of the symptoms with restarting medication, diagnosis of Azathioprine induced sialadenitis was made. Thus, AZA was stopped, and his steroid sparing agent was changed to Mycophenolate mofetil (MMF). Two days later, Patient condition improved dramatically and was discharged home with plans to continue MMF and rituximab.