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Radiology Quiz Case

Radiology Quiz Case AN OBESE 53-year-old woman presented to her primary physician for evaluation of a chronic headache. Appropriate workup included a computed tomographic scan of the head. Although there was no evidence of a pathologic condition to explain her headaches, there was an incidental finding of a retropharyngeal mass. Based on this finding, the patient underwent a computed tomographic scan of the neck (Figure 1 and Figure 2) and was subsequently referred to our institution. View LargeDownload Figure 1. View LargeDownload Figure 2. She denied any complaints of dysphagia, odynophagia, dyspnea, weight loss, or hoarseness. On physical examination, a nonpulsatile, submucosal oropharyngeal mass was noted. Because of the patient's morbidly obese state, no detectable neck mass was evident on examination. The lesion was resected, and the results were successful. Interestingly, after surgery, the patient attested to a resolution of dyspnea and dysphagia that she had never realized were present before surgery. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Radiology Quiz Case

Abstract

AN OBESE 53-year-old woman presented to her primary physician for evaluation of a chronic headache. Appropriate workup included a computed tomographic scan of the head. Although there was no evidence of a pathologic condition to explain her headaches, there was an incidental finding of a retropharyngeal mass. Based on this finding, the patient underwent a computed tomographic scan of the neck (Figure 1 and Figure 2) and was subsequently referred to our institution. View LargeDownload Figure...
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Publisher
American Medical Association
Copyright
Copyright © 2003 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.129.9.1013
Publisher site
See Article on Publisher Site

Abstract

AN OBESE 53-year-old woman presented to her primary physician for evaluation of a chronic headache. Appropriate workup included a computed tomographic scan of the head. Although there was no evidence of a pathologic condition to explain her headaches, there was an incidental finding of a retropharyngeal mass. Based on this finding, the patient underwent a computed tomographic scan of the neck (Figure 1 and Figure 2) and was subsequently referred to our institution. View LargeDownload Figure 1. View LargeDownload Figure 2. She denied any complaints of dysphagia, odynophagia, dyspnea, weight loss, or hoarseness. On physical examination, a nonpulsatile, submucosal oropharyngeal mass was noted. Because of the patient's morbidly obese state, no detectable neck mass was evident on examination. The lesion was resected, and the results were successful. Interestingly, after surgery, the patient attested to a resolution of dyspnea and dysphagia that she had never realized were present before surgery. What is your diagnosis?

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Sep 1, 2003

Keywords: diagnostic radiologic examination,radiology specialty

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