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Clinical Problem Solving: Radiology
July 2012

Radiology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2012;138(7):683. doi:10.1001/archoto.2012.919

A 15-year-old boy presented with a 2-year history of a painless left supraclavicular mass. He had no other complaints, and there was no history of trauma to the region. Physical examination revealed a 2-cm hardened mass in the supraclavicular fossa, deep to the clavicle, free from the underlying skin.

Ultrasonography demonstrated a calcified mass. The findings of ultrasound-guided fine-needle aspiration were nondiagnostic. Magnetic resonance imaging revealed a nonenhancing mass in the supraclavicular fossa. Computed tomography was then performed. An axial source image (Figure 1), a coronal maximum-intensity projection image (Figure 2), and a 3-dimensional volume-rendered reconstructed image (Figure 3) were obtained. A skin marker indicates the site of the palpable abnormality in Figures 2 and 3 (arrows).

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