CLINICAL PRESENTATION A 50-year-old man was referred for assessment of a right lateral neck mass. Four months earlier, a right submandibular space infection was managed with antibiotic therapy and extraction of several grossly decayed teeth in the right posterior mandible. A focal painless swelling persisted. He was otherwise healthy and did not take any medication. On examination, there was a subcutaneous swelling affecting the right submandibular region that measured 2 cm in maximum dimension (Figure 1). On bimanual palpation, this was nontender, firm, ovoid, and mobile. The oral soft tissues were normal, and extraction sockets had completely healed. Clear and ample saliva was expressed from the Wharton ducts. Plain films showed no osseous abnormalities or sialolith.