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  Vol. 133 No. 9, September 2007 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1

Aysenur Meric Teker, MD; Robert R. Lorenz, MD; Walter T. Lee, MD; Sudish C. Murthy, MD, PhD
Cleveland Clinic, Cleveland, Ohio

Arch Otolaryngol Head Neck Surg. 2007;133(9):940.

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

A 67-year-old man presented to the otolaryngology outpatient clinic with a computed tomogram (CT) that showed air in the right side of his neck. He had a 4-month history of increasing pain and slight swelling around the right side of the clavicle. His medical history included renal cell carcinoma and chronic lymphocytic lymphoma. He had also undergone a left radical nephrectomy 4 years earlier as well as mediastinoscopy with node sampling and video-assisted thoracic surgery (VATS) to resect a metastatic renal cell carcinoma of the left lower lobe. He reported having a chronic cough for 3 years but denied fever, dyspnea, dysphagia, or trauma.

The physical examination was remarkable for diffuse fullness of the right supraclavicular fossa, which was compressible. Flexible fiberoptic laryngoscopy revealed no abnormalities. A chest CT obtained 3 months before . . . [Full Text of this Article]


RELATED ARTICLE

Radiology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(9):942-943.
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