The patient is a 44-year-old immigrant male who presented to our institution with multiple masses in bilateral parotid glands, left greater than right. He had a history of neurocysticercosis, presumably owing to ingestion of uncooked pork in Mexico and had undergone a previous craniotomy with removal of the brain mass in Mexico. The patient had been vaccinated against tuberculosis, and subsequent work-up for systemic tuberculosis was negative. This new onset of bilateral parotid masses since his emigration to USA was presumed to represent cysticercosis lesions. A CT scan of the neck with i.v. contrast demonstrated bilateral parotid masses with a dominant, ring-enhancing, hypodense lesion in the left superficial parotid gland, which measured 3.0 x 2.9 cm (Figure 1). A left superficial parotidectomy was performed, and upon pathological analysis, the peripherally enhancing lesion grossly appeared as a large yellowish fluid-filled cyst (Figure 2). Micropathology revealed a squamous epithelium-lined cyst with lymphoepithelial complexes (brown islands) consistent with a lymphoepithelial cyst (Figure 3). This raised the concern of HIV infection, which was confirmed with serological studies.