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  Vol. 132 No. 5, May 2006 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case

Jeanne Lee, BS; Andy T. A. Chung, MD; Richard L. Scher, MD
Duke University Medical Center, Durham, NC

Arch Otolaryngol Head Neck Surg. 2006;132:559.

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

A 28-year-old Hispanic woman presented with a 2-month history of progressive nasal obstruction, muffled voice, throat fullness, and an inability to sleep while supine because of obstructive symptoms. She had also lost 9 kg as a result of progressive dysphagia to solids. She denied having pain, fever, shortness of breath at rest, or chronic cough. She did not use tobacco or alcohol and had not been exposed to occupational toxins.

Physical examination revealed a soft tissue mass filling the entire oropharynx, with anterior displacement of the uvula and soft palate. On digital examination, the mass appeared to be distinct from the soft palate. Fiberoptic laryngoscopy revealed a soft tissue mass extending from the left maxillary sinus ostium, tracking posteriorly toward the nasopharynx, and extending to the level of the left pyriform sinus base. The vocal cords were easily . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case: Diagnosis
Arch Otolaryngol Head Neck Surg. 2006;132(5):560.
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