R. NICKBRYANMDS. JAMESZINREICHMD
AN 18-MONTH-OLD boy was referred for evaluation of progressively worsening dysphagia to solids and liquids over 2 months. The dysphagia was not associated with shortness of breath, stridor, stertor, pain, drooling, or fever. There was no history of cutaneous hemangiomas or lymphangiomas. The child had an uncomplicated perinatal history, with normal growth and development. Initial evaluation revealed a midline, smooth, erythematous mass at the base of the tongue. The findings of the rest of the head and neck examination were unremarkable. A magnetic resonance imaging study was obtained. Figure 1 shows an axial T1-weighted image. Figure 2 shows a sagittal T2-weighted image. On reevaluation, the parents reported increased growth of the lesion and worsening dysphagia. A thyroid scan was obtained and is shown in Figure 3.
Amagasu M, Lee D, Bluestone CD. Imaging Quiz Case 1. Arch Otolaryngol Head Neck Surg. 1999;125(5):592. doi:10.1001/archotol.125.5.592