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April 1967

The Resident's PageX-RAY QUIZ CASE

Arch Otolaryngol. 1967;85(4):456-459. doi:10.1001/archotol.1967.00760040458021

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Victor Passy, MD, Los Angeles

Two weeks ago a 48-year-old Negro woman had experienced a sticking sensation in the throat following a meal of boneless chicken. The symptoms subsided in two days. Four days later the patient began to have a sore throat and received local therapy at home without improvement.

Examination revealed a pulsatile tender mass 1×2 cm over the area of the carotid bifurcation, just behind the palpably normal submandibular gland. The patient had pain on movement of the head in either direction. Indirect laryngoscopy revealed an ovoid mass about 2 × 3 cm along the right posterolateral pharyngeal wall just to the right of the midline at the level of the epiglottis. The vocal cords were clear and moved well under the mass. No foreign body was seen.

X-ray film of the cervical spine showed normal findings according to the radiologist.

The patient improved following one week

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