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Radiology Quiz Case 2
K. C. Rose, MBBS, BSc;
C. E. B. Giddings, MRCS;
A. C. Robinson, FRCS(Oto)
West Middlesex University Hospital, Isleworth, Middlesex, England
Arch Otolaryngol Head Neck Surg. 2007;133(2):195.
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A 94-year-old woman presented to the emergency department with acute-onset dypsnea, severe stridor, tachypnea (respiratory rate, 35/min), and a neck mass that had visibly enlarged during a coughing fit at her residential home. Her other vital signs were normal. She had a history of chronic regurgitative symptoms and gastroesophageal reflux disease over the last decade. Pulse oximetry demonstrated oxygen saturations of 97% or higher on room air. A diffusely enlarged, central neck mass was apparent on general inspection. Palpation of the patient's neck revealed a mobile larynx with normal laryngeal architecture and loss of laryngeal crepitus.
Flexible endoscopy was performed and showed significant distension of the posterior pharyngeal wall in the laryngopharynx, causing anterior displacement of the larynx and significant obstruction above the laryngeal inlet. There were no mucosal lesions and vocal cord movement was normal. . . . [Full Text of this Article]
RELATED ARTICLE
Radiology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(2):197.
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