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May 1996


Arch Otolaryngol Head Neck Surg. 1996;122(5):570-573. doi:10.1001/archotol.1996.01890170102018

Imaging Quiz Case 1  Zan Mra, MD, Buffalo, NYA 53-year-old man presented with a 4-month history of a painless mass in the right side of his neck. His medical history was significant for heavy smoking and drinking. Physical examination revealed a 2X2-cm firm, nontender, mobile mass in his right jugulodigastric area. The findings of the rest of his head and neck examination were normal.The findings of fine-needle aspiration were nondiagnostic. A thyroid imaging study was performed witb iodine 123 (Figure I). Computed tomographic (CT) scanning was carried out from the skull base to the clavicles. Figure 2 shows an axial cut through the level of the mass. Panendoscopy did not reveal any primary lesions. The excisional biopsy specimen of tbe mass was stained with hematoxylin-eosin (Figure 3).What is your diagnosis?

Imaging Quiz Case 2  Michelle M. Cullen, MD; Gianfranco Toso, MD; Cincinnati, OhioAn 53-year-old

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