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  Vol. 129 No. 5, May 2003 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Jesus Iniesta Turpín, MD; Beatriz Rodríguez González-Herrero, MD; Victoria Vázquez Sáez, MD; Jose Cubillana Herrero, MD
Hospital Universitario Virgen de la Arrixaca, Murcia, Spain

Arch Otolaryngol Head Neck Surg. 2003;129:595.

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

A 22-YEAR-OLD WOMAN presented to the emergency department with acute pain in the lateral aspect of the left side of her neck, dysphagia, slight dyspnea, and dysphonia of 2 hours' duration. She stated that a left cervical mass had suddenly developed and had enlarged. Indirect laryngoscopy revealed that the mass, which was hard, painful, and tender on palpation, was causing compression and displacement of the left hemilarynx. She also said that her mother had died of a spontaneous rupture of the splenic artery at the age of 31 years.

An axial computed tomographic scan of the neck with contrast (Figure 1) showed a round 3 x 4-cm mass with well-defined limits in the left carotid space. The mass, which was weakly enhanced by the contrastagent, was compressing the larynx and the left . . . [Full Text of this Article]



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