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A young boy was noted during routine adenotonsillectomy to have a large firm mass in the posteriolateral pharyngeal wall and was referred to a tertiary medical center. Postoperatively, he developed mild velopharyngeal insufficiency. On flexible endoscopy, the posterior pharyngeal mass was clearly visible. Magnetic resonance imaging (MRI) of the neck revealed a 3 × 2 × 1-cm fusiform lesion attached to the medial aspect of the left carotid space, extending to the midline retropharyngeal space at the level of C2 to C4 (Figure, A). The mass showed homogenous enhancement with gadolinium contrast (not shown).
Showmaker J, Gov-Ari E. A Retropharyngeal Mass in a Young Boy. JAMA Otolaryngol Head Neck Surg. 2014;140(2):173-174. doi:10.1001/jamaoto.2013.6068