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Clinical Problem Solving
September 2013

A Paratracheal Mass

Author Affiliations
  • 1Drexel University, Philadelphia, Pennsylvania
JAMA Otolaryngol Head Neck Surg. 2013;139(9):959-960. doi:10.1001/jamaoto.2013.4113

A woman in her 50s was referred to the otolaryngology clinic by her neurologist for evaluation of a paratracheal mass. This lesion was discovered incidentally on magnetic resonance (MR) imaging of the spine, which was performed for evaluation of recurrent headaches. She denied any dysphagia, odynophagia, weight loss, neck pain, and otalgia. She also denied any respiratory symptoms, including shortness of breath, cough, and hoarseness. Findings from the clinical examination, which consisted of office flexible diagnostic laryngoscopy, were unremarkable except for mild laryngopharyngeal reflux.

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