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  Vol. 128 No. 12, December 2002 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Nili Segal, MD; Michael Nash, MD; Gady Sapir, MD; Ilan Shelef, MD
Soroka University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel

Arch Otolaryngol Head Neck Surg. 2002;128:1431.

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

A 40-YEAR-OLD WOMAN presented with a 5-month history of swelling in the right side of her neck. The swelling was painless, had increased over the prior month, and had caused mild dysphagia and respiratory discomfort in the weeks before she presented.

Physical examination revealed a soft, nontender, nonfluctuant mass measuring approximately 10 cm in greatest dimension (Figure 1). The mass was not fixed to surrounding structures; the trachea was midline; carotid pulses were palpable bilaterally; and no other neck masses were palpable. Fiberoptic endoscopy showed a normal nasopharynx and larynx, with no apparent bulging of the lateral pharyngeal wall.


Figure 1.

An ultrasound examination revealed a septated cystic mass in the lateral aspect of the right side of the neck (Figure 2), parallel to the great vessels, without vascular or airway compression. A computed . . . [Full Text of this Article]



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