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Clinical Problem Solving: Radiology
January 2003

Radiology Quiz Case 2

Author Affiliations
 

R. NICKBRYANMDS. JAMESZINREICHMD

Arch Otolaryngol Head Neck Surg. 2003;129(1):130. doi:10.1001/archotol.129.1.130

A 76-YEAR-OLD WOMAN presented with a 15- to 20-year history of a mass on the posterior aspect of the left side of her neck. The mass had slowly increased in size, with more rapid expansion over the past 2 years. The patient complained of local pain, pressure, and shoulder discomfort. She denied any history of local trauma or radiation therapy and had a medical history that was significant for hypothyroidism and gastroesophageal reflux disease. She had smoked 1 pack of cigarettes per day for 10 years, but quit 40 years ago.

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