CTICasesHeerfordt syndrome (uveoparotid fever) in sarcoidosis
Imaging findings
CT scan demonstrates massive, symmetric bilateral salivary/parotid gland enlargement and extensive mediastinal/hilar lymphadenopathy. The patient also had bilateral Bell's palsy.
Key takeaways
Heerfordt syndrome is a rare manifestation of sarcoidosis characterized by uveitis, parotid gland enlargement, fever, and cranial nerve palsy (classically facial nerve/Bell's palsy). Bilateral Bell's palsy should prompt evaluation for systemic autoimmune diseases.
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