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Clinical Problem Solving: Radiology
September 2007

Radiology Quiz Case 1

Author Affiliations

Cleveland Clinic, Cleveland, Ohio



Arch Otolaryngol Head Neck Surg. 2007;133(9):940. doi:10.1001/archotol.133.9.940

A 67-year-old man presented to the otolaryngology outpatient clinic with a computed tomogram (CT) that showed air in the right side of his neck. He had a 4-month history of increasing pain and slight swelling around the right side of the clavicle. His medical history included renal cell carcinoma and chronic lymphocytic lymphoma. He had also undergone a left radical nephrectomy 4 years earlier as well as mediastinoscopy with node sampling and video-assisted thoracic surgery (VATS) to resect a metastatic renal cell carcinoma of the left lower lobe. He reported having a chronic cough for 3 years but denied fever, dyspnea, dysphagia, or trauma.

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