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  Vol. 127 No. 12, December 2001 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1

Peter Walshe, FRCSI(Oto); Helena Rowley, FRCSI(Orl); Brian Mcglone, FRCR(Irl); John Griffin, FRCR(Irl); John Nolan, MRCPI; Conrad Timon, FRCS, FRCSI(Orl)
Dublin, Ireland

Arch Otolaryngol Head Neck Surg. 2001;127:1506-1508.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 24-YEAR-OLD WOMAN presented with a swelling at the back of her mouth. It had been present all her life but only recently had become sore and was causing dysphagia. Examination revealed a smooth, egg-sized swelling at the base of the tongue (Figure 1).


Figure 1.

Flexible fiberoptic nasal endoscopy showed a significant narrowing of the airway at the level of the tongue base. Sagittal T1-weighted magnetic resonance images showed a 2.5 x 3.0-cm well-circumscribed mass at the base of the tongue (Figure 2). The lesion contained a homogeneous area of high-signal intensity superiorly, consistent with lipid. A low signal in the inferior portion of the mass was of similar intensity to cerebrospinal fluid on all sequences. Technetium Tc 99m pertechnetate scanning revealed uptake of the material . . . [Full Text of this Article]



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