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Clinical Problem Solving: Radiology
February 2005

Radiology Quiz Case 2

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Copyright 2005 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2005

Arch Otolaryngol Head Neck Surg. 2005;131(2):179. doi:10.1001/archotol.131.2.179

A previously healthy 30-year-old man presented with swelling in his left palatal region. He said that he had experienced some mild snoring over the previous 3 months but that he had noticed the painless swelling in his throat only a few weeks ago. He had been seen by an otorhinolaryngologist 6 months earlier when he had been in hospital because of pneumonia, and a slight palatal asymmetry had already been noted then, but no action had been taken. Physical examination revealed a smooth, solid, nontender bulge on the left soft palate and the lateral pharyngeal wall. Nasoendoscopy showed that the swelling extended into the nasopharynx. The mucosa over the lesion was intact. The findings of the rest of the physical examination were unremarkable.

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