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Clinical Problem Solving: Radiology
October 18, 2010

Radiology Quiz Case 2

Author Affiliations
 

C. DOUGLASPHILLIPSMD

Arch Otolaryngol Head Neck Surg. 2010;136(10):1031. doi:10.1001/archoto.2010.158-a

A 2-day-old girl, born at 40 weeks and 5 days' gestation, was transferred from a community hospital to our academic center neonatal intensive care unit as a result of congenital bilateral neck masses that had led to inspiratory stridor with intermittent respiratory distress. Her mother's pregnancy was complicated only by gestational diabetes, which was controlled with diet. The results of other prenatal testing were normal. According to medical records, all prenatal ultrasonograms demonstrated a normal anatomy. On transfer from the outside neonatal intensive care unit, bedside fiberoptic laryngoscopy demonstrated bilateral bluish supraglottic masses with partial airway narrowing. A head and neck examination confirmed the presence of large, soft, mobile neck masses lateral to the trachea, extending from the submandibular area to the clavicles (Figure 1). The patient was only intermittently stridorous and without respiratory distress at the time.

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