腮腺炎伴化脓性腮腺内淋巴结
左侧腮腺增大伴增强，符合腮腺炎。腮腺内多发中央液性密度结构可能代表急性腮腺炎背景下的化脓性淋巴结（淋巴结内脓肿）。建议耳鼻喉科随访，必要时复查影像以排除潜在腮腺肿块。
左侧颈部淋巴结增大，最可能为反应性。
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