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Clinical Problem Solving: Radiology
July 2004

Radiology Quiz Case 2

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINS

Arch Otolaryngol Head Neck Surg. 2004;130(7):893. doi:10.1001/archotol.130.7.893

A 59-year-old man presented with a 2-year history of intermittent hoarseness; he also had increasing shortness of breath for the past 2 months and an acute episode of dyspnea. On admission, indirect and flexible laryngoscopy showed an extensive submucosal lesion that was covered by an apparently intact mucosa; the lesion was invading the right hemilarynx and narrowing the homolateral pyriform sinus, causing unilateral vocal cord fixation. A hard, painless 1.0 × 1.5-cm mass originating from the laryngeal framework was palpable in the cervical area of the right side of the neck. Palpation revealed no enlarged cervical lymph nodes in the neck.

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