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Clinical Problem Solving: Radiology
July 2011

Radiology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2011;137(7):718. doi:10.1001/archoto.2011.96-a

A 31-month-old boy presented with a 1-year history of a slow-growing mass in the right side of his neck. The mass was not associated with pain, shortness of breath, dysphagia, fever, chills, or hoarseness. Physical examination revealed that the mass was firm, located just right of midline, and easily palpable from the level of the hyoid bone, extending inferiorly below the sternal notch. The results of the rest of the examination were remarkable for an ipsilateral Horner syndrome. The patient otherwise appeared healthy.