Sine qua non Radiology-Pathology
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A 63-year old male with a prior history of anterior cervical discectomy and fusion presented with complaints of gradual dysphagia with occasional regurgitation of undigested food and primarily a right neck swelling.
Axial computed tomography (CT) imaging (Fig. 1) demonstrated bilateral, cystic, air filled lesions extending into the soft tissues of the neck, with the right (4.8 × 2.5 × 4.5 cm) larger than the left (1.3 × 1.1 × 1.2 cm), each fully pneumatized without fluid collection. No nodularity was associated with the walls of either and no associated mass lesion was present about the laryngeal ventricles. The right lesion showed extension through the thyrohyoid membrane with mass effect upon the supraglottic larynx, and the left showed sole placement within the soft tissues of the neck. Regionally, no additional mass lesions or adenopathies were identified. Changes of the prior C3 through C7 cervical spine fusion were observed. No mass lesion was...
KeywordsObstructive Sleep Apnea Fibrous Connective Tissue Anterior Cervical Discectomy Branchial Cleft Cyst False Vocal
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