The patient remained on observation for 8 months when she noticed an enlarging right parotid mass along with multiple bilateral cervical lymph nodes. CT revealed enlargement of the right superficial parotid nodule, measuring up to 4.1 cm, a new contralateral left superficial parotid nodule measuring up to 1.4 cm, and multiple heterogeneously enhancing right level 2, 3, and 5 lymph nodes. A biopsy of the right parotid gland mass was performed, revealing findings similar to the previous biopsy - BCL2-R-negative, CD23+ follicle center lymphoma. The gene discussed is FCER2; the disease is lymphoma.