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Clinical Problem Solving: Radiology
August 2007

Radiology Quiz Case 2

Author Affiliations

University of Missouri School of Medicine, Columbia

 

PATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2007;133(8):835. doi:10.1001/archotol.133.8.835

A 53-year-old white woman presented with a 1-week history of sore throat, hoarseness, odynophagia, and dysphagia. Her medical history was remarkable for diabetes mellitus. Indirect laryngoscopy revealed an erythematous mucosal-covered mass at the base of the tongue. Flexible laryngoscopy showed that the mass was 2 × 2 cm, raised, erythematous, nonulcerated, and situated in the midline of the base of the tongue. It was in contact with the posterior pharyngeal wall. On tongue protrusion, the mass moved away from the posterior pharyngeal wall, permitting adequate visualization of the vocal cords. The thyroid gland was just slightly palpable at its native location in the neck.

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