Case of May 2024

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Clinical History:

A 50-year-old gentleman presented with fever, sore throat, dysphagia, and recent unintentional weight loss. Flexible laryngoscopy noted a large friable nasopharyngeal mass, and cervical lymphadenopathy was palpable. Contrast-enhanced computed tomography of the neck was performed.

Figure 1. Axial contrast-enhanced computed tomography (CT) at the level of nasopharynx

Figure 2. Axial contrast-enhanced CT at the level of oropharynx

Figure 3. Sagittal-contrast-enhanced CT at the midline