A 34-year-old woman presented with complaints of progressive odynophagia and dysphagia after having lunch 3 days earlier. Since then, she had eaten a soft diet despite some swallowing difficulty. Her medical and family histories were unremarkable. On physical examination, she was afebrile and her general appearance was good. Laryngoscopy revealed no abnormalities in the tonsils, tongue base, or hypopharynx, and there was no evidence of saliva pooling in her piriform sinuses. No mass was palpable in her neck.
Wu-Chia Lo, Chung-Han Hsin, Shiann-Yann Lee, Po-Wen Cheng. Radiology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2008;134(9):1008. doi:10.1001/archotol.134.9.1008