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  Vol. 134 No. 12, December 2008 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case

Gennady M. Shiferman, BS; Sally E. Carty, MD; Barton F. Branstetter IV, MD
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Arch Otolaryngol Head Neck Surg. 2008;134(12):1339.

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

A 50-year-old perimenopausal woman presented with complaints of intermittent mild dizziness. She had a high-stress job and a history of hyperthyroid thyroiditis, for which she had undergone ablation therapy 7 years earlier. A thorough head and neck examination revealed no abnormalities, and unenhanced magnetic resonance images (MRIs) of the brain (Figure 1) were interpreted as unremarkable. The patient saw a dentist for routine care and was told that she had classic temporomandibular joint syndrome. However, treatment with ibuprofen, heat compresses, and massage therapy provided no relief. Ten weeks after the MRI was performed, acute facial swelling arose, and the patient palpated an intraoral submucosal mass at the base of the zygoma. The physical finding was confirmed by an otolaryngologist, and a computed tomogram (CT) of the neck was obtained. The CT revealed a 2-cm heterogeneously . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(12):1340-1341.
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