We describe an unusual salivary neoplasm, an epithelial-myoepithelial
carcinoma (EMEC) of the parotid gland, that occurred in a 64-year-old
man. A CT scan showed a fairly well defined heterogeneous lesion with
smooth margins and slight enhancement. MR images showed a lesion with
intermediate T1-weighted signal intensity and a relatively high T2-wei
ghted signal intensity, Although the imaging characteristics of EMEC o
n both CT and MR studies are nonspecific, clinicians and radiologists
must be aware of its high local recurrence rate, which has been report
ed to approach 50% in some series, and thus the need for periodic post
operative imaging to detect early recurrence.