Figure 1

Unfortunately, patient returned to the ED with the same complaints in addition to drooling of saliva, 1 day after restarting AZA therapy. (Figure 1). The clinical examination and airway assessment findings were similar to his first presentation with no significant change in the size of the swelling. The CT imaging of the neck showed bilaterally enlarged submandibular glands with postcontrast heterogenous enhancement. (See Figure 2 and 3). No collection or abscess formation were seen.