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Clinical Problem Solving: Radiology
January 2005

Radiology Quiz Case 1

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2005;131(1):73. doi:10.1001/archotol.131.1.73

A 16-month-old girl presented with a 3-week history of a lesion in the left cervical region. Her medical history revealed that 3 months earlier an excisional biopsy procedure had been attempted at another institution but could not be completed because a vascular mass had been encountered. Physical examination revealed a 5 × 4-cm cystic mass on the left side of her neck, occupying the upper cervical region and medially displacing the lateral pharyngeal wall. The findings of the neurologic examination were normal, and there were no symptoms of dyspnea or dysphagia. Contrast-enhanced T1- and T2-weighted axial cervical magnetic resonance images demonstrated a giant mass occupying the left parapharyngeal region (Figure 1 and Figure 2).

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