A 71-year-old woman presented to the otolaryngology clinic for evaluation of a parapharyngeal space (PPS) mass that was incidentally found on magnetic resonance imaging (MRI) of the face. The patient experienced left jaw tightness, aural fullness, and facial discomfort. The MRI results demonstrated a well-circumscribed, ovoid mass in the left prestyloid PPS that measured 12 × 15 × 22 mm. The lesion was isointense on T1-weighted imaging, was hyperintense on T2-weighted imaging, and demonstrated heterogeneous enhancement following gadolinium administration (Figure 1). A computed tomography–guided fine-needle aspiration was performed, which demonstrated blood, fibrin, and rare mesenchymal cells. Given her ongoing symptoms, the patient requested surgical resection. The patient underwent transoral robotic surgery for resection of her PPS mass to achieve definitive diagnosis and treatment. Histopathologic evaluation demonstrated a well-circumscribed, 12-mm mass.