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Radiology Quiz Case 2
Tzu-Ying Huang, MD;
Chung-Han Hsin, MD;
Po-Wen Cheng, MD;
Tzung-Shiahn Sheen, MD
National Taiwan University Hospital, Taipei (Dr Huang), Chung Shan Medical University Hospital and School of Medicine, Chung Shan Medical University, Taichung (Dr Hsin), Far Eastern Memorial Hospital, Taipei (Drs Cheng and Sheen), and Oriental Institute of Technology, Taipei (Dr Cheng), Taiwan
Arch Otolaryngol Head Neck Surg. 2009;135(6):613.
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A 25-year-old man presented with a several-month history of a globus sensation in his throat and intermittent dysphagia. He had no complaints of shortness of breath, sore throat, cough, recent upper respiratory tract infection, trauma, or vigorous exercise. He also had no history of gastroesophageal reflux, foreign body aspiration, neoplastic disease, or tuberculosis infection. He was afebrile and appeared healthy.
Laryngoscopy revealed a cystlike mass with intact mucosa overlying the posterior pharyngeal wall, just posterior to the arytenoids (Figure 1). A barium esophagogram did not show esophageal extension of the mass. An axial T1-weighted postgadolinium magnetic resonance image (MRI) with fat saturation (Figure 2) and an axial T2-weighted fat-saturated MRI (Figure 3) of the neck were obtained. The lesion showed hypointensity and peripheral rim enhancement on T1-weighted MRIs and hyperintensity on T2-weighted . . . [Full Text of this Article]
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Radiology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2009;135(6):615.
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