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Clinical Problem Solving: Radiology
September 2002

Radiology Quiz Case 1

Author Affiliations
 

R. NICKBRYANMDS. JAMESZINREICHMD

Arch Otolaryngol Head Neck Surg. 2002;128(9):1103. doi:10.1001/archotol.128.9.1103

A 13-YEAR-OLD boy presented with an 8-month history of a mass in the area of the tail of the right parotid gland. He was initially referred by his primary care physician for evaluation of a persistent right tympanic membrane perforation and associated hearing loss. He had no complaints of any pain or tenderness associated with the neck mass and n recent history of otalgia, otorrhea, or dizziness. He also denied symptoms of trismus, dysphagia, hoarseness, and dyspnea. His medical history was significant only for recurrent ear infections when he was younger, for which he had undergone a bilateral myringotomy with tube placement. After spontaneous extrusion of the tympanostomy tubes, he had a persistent right tympanic membrane perforation. He then underwent 2 unsuccessful tympanoplasties, the most recent of which had taken place 3 years earlier. He was otherwise healthy.

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