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Residents Page: Imaging
May 1999

Imaging Quiz Case 2

Author Affiliations

Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Otolaryngol Head Neck Surg. 1999;125(5):593. doi:

A 48-YEAR-OLD woman presented with a 3-day history of dysphagia and dysphonia. Physical examination showed induration and fullness at the base of the tongue. The submandibular and submental regions were tender. The patient was afebrile and had a slightly elevated white blood cell count (17.2×109/L). The medical history was unremarkable.

A contrast-enhanced computed tomographic scan of the neck was performed (Figure 1). Magnetic resonance imaging (MRI) with gadolinium was performed for further evaluation (Figure 2 and Figure 3). Direct laryngoscopy with incisional biopsy was performed (Figure 4).