,HISTORY OF PRESENT ILLNESS: , The patient is a very pleasant 40-year-old gentleman who reports swelling in his left submandibular region that occurred all of a sudden about a month and a half ago. 
,HISTORY OF PRESENT ILLNESS : , The patient is a very pleasant 40 - year - old gentleman who reports swelling in his left submandibular region that occurred all of a sudden about a month and a half ago .