R. NICKBRYANMDS. JAMESZINREICHMD
A 75-YEAR-OLD WOMAN presented with a 6-month history of dysphagia, foreign body sensation, and a 7-kg weight loss. The head and neck examination showed an elevation of the posterior pharyngeal wall, with an intact mucosal covering at the level of the epiglottis. On palpation, the area was found to be hard, tender, and attached to the cervical spine, with no adherence to the mucosal covering. The findings of flexible esophagoscopy were unremarkable. A complete blood cell count with differential was normal. Lateral neck radiography (Figure 1), barium swallow (Figure 2), and axial computed tomography of the neck (Figure 3) were performed.
Kyrmizakis D, Pangalos A, Bizakis J, Helidonis E. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2001;127(1):83. doi:10.1001/archotol.127.1.83