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Clinical Problem Solving: Radiology
October 2003

Radiology Quiz Case

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2003;129(10):1137-1138. doi:10.1001/archotol.129.10.1137-a

A 49-YEAR-OLD woman presented with a 1-month history of nasal congestion and fluctuant hearing loss and mild otalgia in her left ear. She had no associated history of headache, vertigo, or otorrhea. Otologic examination revealed a retracted left tympanic membrane, and the results of audiometry were consistent with a 60-dB mixed hearing loss in the left ear.

Flexible fiberoptic nasal endoscopy showed a large well-encapsulated lesion arising from the posterosuperior aspect of the postnasal space. The mass, which was covered with smooth mucosa, was in the midline. The findings of the rest of the otorhinoneurologic examination were normal.

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