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Clinical Problem Solving: Radiology
July 2005

Radiology Quiz Case 1

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2005;131(7):646. doi:10.1001/archotol.131.7.646

A 20-year-old man presented with a 3-year history of an intermittently discharging sinus on the right side of his neck. The discharge was watery, and there was no history of pain, erythema, swelling, or fever. The findings of the physical examination were unremarkable, except for a small pigmented opening that was noted on the right side of the patient’s neck, just anterior to the sternomastoid muscle. Sinography was performed under fluoroscopic guidance, followed by computed tomography.