Background: Earring lesions in the neck region comprises spectrum of different pathologies.Papillary cystadenoma lymphomatosum (PCL) is one of such entity which falls in this spectrum. The cystic lesions of the tail of parotid gland can lead to utter confusion over the diagnosis and about its site of origin. The exact anatomy has to be delineated for the correct location and diagnosis. The wrong location and diagnosis can lead to many iatrogenic complications. The cross sectional imaging plays a pivot role .Computerized Tomography (CT) and Magnetic Resonance imaging can diagnose the entity to fairly complete diagnosis. Case Presentation: We present 41-years female who presented with this type of pathology with small swelling at the angle of mandible. She reported because of cosmetic reasons and was subjected to CECT and MRI.Coronal sections were able to delineate the lesion in both CECT and MRI. The lesion after histological analysis turned out to be Warthin's tumor. Conclusion: Ear ring lesions remain undiagnosed if not evaluated by cross sectional radiological imaging. The concern becomes greater because of the malignant potential of the neoplasm.

Keywords: earring lesion; PCL; CT; MRI; malignant