R. NICKBRYANMDPATRICIA A.HUDGINSMD
A 94-year-old woman presented to the emergency department with acute-onset dypsnea, severe stridor, tachypnea (respiratory rate, 35/min), and a neck mass that had visibly enlarged during a coughing fit at her residential home. Her other vital signs were normal. She had a history of chronic regurgitative symptoms and gastroesophageal reflux disease over the last decade. Pulse oximetry demonstrated oxygen saturations of 97% or higher on room air. A diffusely enlarged, central neck mass was apparent on general inspection. Palpation of the patient's neck revealed a mobile larynx with normal laryngeal architecture and loss of laryngeal crepitus.
Rose KC, Giddings CEB, Robinson AC. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2007;133(2):195. doi:10.1001/archotol.133.2.195