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  Vol. 134 No. 7, July 2008 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case

Meir Warman, MD; Pearl Herskovitz, MD; Doron Halperin, MD
Kaplan Medical Center, Rehovot (Drs Warman, Herskovitz, and Halperin), and Hebrew University Hadassah Medical School, Jerusalem (Drs Warman and Halperin), Israel

Arch Otolaryngol Head Neck Surg. 2008;134(7):781.

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

A 29-year-old white man presented with a 12-month history of a left-sided cervical mass. He was asymptomatic and denied having pain, dysphagia, dyspnea, or cough. Physical examination revealed a nontender, nonpulsating, hard, fixed mass measuring 3x6 cm in diameter in the high jugular region. Oropharyngeal examination revealed bulging and medial displacement of the pharynx and left tonsil, without trismus or visible mucosal lesions. No cranial nerve deficits or Horner sign was noted. Findings of the rest of the examination of the nasopharynx, hypopharynx, and larynx were noncontributory.

An axial computed tomographic scan demonstrated a nonenhancing well-circumscribed left parapharyngeal mass (Figure 1, black asterisk) laterally displacing the internal and external carotid arteries (Figure 1, short and long black arrows, respectively) and clearly separated from the parotid gland by the posterior belly of the digastric muscle (. . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(7):782.
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