Consult an ENT specialist.

Hello, I understand your concern. Let me clarify this in a simple way. An OPG (panoramic X-ray) mainly shows teeth and jaw bones. It is useful to rule out dental infections, cysts, bone lesions, or large calcified salivary stones. However, it does not clearly show the parotid gland itself, as it is a soft tissue structure. If your dentist has examined you clinically and the OPG is normal, that is reassuring — it means there is no dental or bony cause for the swelling. Now regarding your symptoms: • Mild facial asymmetry is very common. • At a body weight of 130 kg, uneven fat distribution in the cheek region can definitely make one side appear slightly fuller or feel heavier. • If there is no pain, no increase in swelling during meals, no fever, no dry mouth, and no hard palpable lump, then a serious parotid gland issue is less likely. Parotid gland problems usually present with: • Pain or swelling while eating • Noticeable progressive enlargement • Tenderness • Occasionally fever If you are still anxious, the next appropriate investigation (if required) would be an ultrasound of the parotid region, not MRI. Ultrasound is simple, affordable, and sufficient in most cases. At present, based on your description, there does not seem to be an alarming concern. However, if you notice increase in size, pain, or any new symptoms, consult an Oral & Maxillofacial Surgeon or ENT specialist for evaluation. Hope this helps.

Hello Looks like it is due to your facial bone structure

Hello Opg shows hard tissues like teeth and bone. Parotid gland is a soft tissue which won't be captured in opg xray.