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Clinical Problem Solving: Radiology
June 2005

Radiology Quiz Case 2

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2005;131(6):535. doi:10.1001/archotol.131.6.535

A healthy 28-year-old white man presented with a several-week history of fullness in the left side of his throat. He denied any difficulty in breathing or swallowing or change in phonation. Physical examination revealed some fullness and asymmetry of the lower part of the left side of the face, and there was a submucosal mass filling the oropharynx on the left side and involving the left half of the soft palate, with uvula deviation to the right. Otherwise, there was no evidence of parotid or cervical masses. Fiberoptic laryngoscopy revealed the same mass completely filling the left half of the nasopharynx, with no other abnormalities identified in the hypopharynx or larynx. The findings of the rest of the physical examination were normal.

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