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Clinical Challenge
Radiology
November 21, 2018

A Rare Case of a Nasopharyngeal Mass

Author Affiliations
  • 1Department of Neuroradiology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
  • 2Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York
  • 3Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York
JAMA Otolaryngol Head Neck Surg. 2019;145(2):179-180. doi:10.1001/jamaoto.2018.2951

A man in his 50s with a history of chronic hepatitis C, hypothyroidism, and alcoholism presented to the outpatient clinic complaining of nasal congestion and epistaxis. Nonenhanced computed tomography of the paranasal sinuses revealed a soft-tissue mass extending from the nasopharynx into the left sphenoid sinus with erosion of the sphenoid sinus floor and the clivus (Figure 1A). The sella was apparently normal with no disruption of its floor. The intracranial and orbital soft tissues were grossly normal, as were the remaining soft tissues under the skull base.

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