A 29-year-old white man presented with a 12-month history of a left-sided cervical mass. He was asymptomatic and denied having pain, dysphagia, dyspnea, or cough. Physical examination revealed a nontender, nonpulsating, hard, fixed mass measuring 3×6 cm in diameter in the high jugular region. Oropharyngeal examination revealed bulging and medial displacement of the pharynx and left tonsil, without trismus or visible mucosal lesions. No cranial nerve deficits or Horner sign was noted. Findings of the rest of the examination of the nasopharynx, hypopharynx, and larynx were noncontributory.
Warman M, Herskovitz P, Halperin D. Radiology Quiz Case. Arch Otolaryngol Head Neck Surg. 2008;134(7):781. doi:10.1001/archotol.134.7.781