The salivary gland appearance above can be characteristic of autoimmune disorders such as Sjogren's syndrome and Mikulicz syndrome or due to HIV and immune suppression.

There is a honeycomb or salt (fat) and pepper (calcium) appearance on MRI due to a combination of fat deposition, calcifications and cystic (ring enhancing) lesions. The above case illustrates the CT equivalent appearance due to solid and cystic lesions that enlarge the salivary glands in HIV-positive patients.

In this specific patient, lymphoma and opportunistic and atypical infections are further excluded.