Intercalated duct lesions of the salivary glands are rare tumors that were only recently described. However, their resemblance to other salivary gland tumors as well as their association with malignant neoplasms makes their detection, treatment, and follow-up paramount. We present the case of a 63-year-old woman diagnosed with an intercalated duct lesion of the parotid. Her case is illustrative of the difficulty and importance of an accurate pathologic diagnosis in the management of patients with these lesions.