Sjögren's syndrome, an immune-mediated disorder of the exocrine glands (lacrimal and salivary) affects acinar cell serous production leading to complaints of dryness of the eyes and mouth. Radiological imaging has been used as a non-invasive modality for the diagnosis of this condition. This is a case report of incidental diagnosis of Sjögren's syndrome in a 49-year-old female with left aural fullness and recurrent tinnitus. Incidental findings of scattered micro-calcifications and heterogeneity were seen in both parotid glands on computed tomography imaging and innumerable microcysts of low signal intensity on T1 and high signal intensity on T2/STIR, on magnetic resonance imaging of the temporal bone. These findings are pathognomonic for Sjögren's syndrome.The meticulous review of computed tomography and magnetic resonance images help to detect silent lesions and the awareness of audio-vestibular involvement in Sjögren's syndrome can lead to prompt diagnosis and the monitoring of disease progression.