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Radiology Forum
October 2000

Imaging Quiz Case 3

Arch Otolaryngol Head Neck Surg. 2000;126(10):1268-1272. doi:

A 62-YEAR-OLD woman presented with a 6-month history of chronic nonproductive cough. She denied dysphagia, odynophagia, hemoptysis, otalgia, and dysphonia. Fiberoptic nasopharyngolaryngoscopy revealed a submucosal mass in the right false vocal fold, with decreased true vocal fold mobility. The results of the rest of the head and neck examination were unremarkable.

A contrast-enhanced computed tomographic scan revealed a strongly enhancing mass in the right side of the paraglottic space (Figure 1). Because of the enhancing nature of the lesion, a magnetic resonance imaging (MRI) scan (Figure 2) and an angiogram (Figure 3) were obtained to evaluate its vascularity.