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A previously healthy boy presented to the pediatric otolaryngology clinic with a recurrent cervical neck mass. The patient initially presented at age 13 months with a 2-month history of asymptomatic, right-sided neck swelling. Contrast-enhanced neck computed tomography (CT) with contrast at presentation demonstrated a low-attenuation, multilobulated mass measuring 5.3 cm (craniocaudad) × 4.2 cm (coronal) × 2.8 cm (anteroposterior) extending from C2 to C5 with anterolateral displacement of the right common carotid artery and internal jugular vein (Figure, A). He subsequently underwent an uncomplicated primary excisional biopsy.
Ambrosio A, Hawley D, Klugh A, Bogni F, Nelson B, Brigger M. Pediatric Neck Mass. JAMA Otolaryngol Head Neck Surg. 2014;140(3):273-274. doi:10.1001/jamaoto.2013.6196