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Fig. 16 | Insights into Imaging

Fig. 16

From: A radiologic review of hoarse voice from anatomic and neurologic perspectives

Fig. 16

Skull base metastasis. A 63-year-old woman with several weeks of right-sided ear infection and hoarseness, followed by sudden onset right facial droop. Axial post-contrast T1-weighted (a) and DWI/ADC (b, c) MR images reveal a large enhancing infiltrative lesion with diffusion restriction at the skull base (arrows). Axial CTA image (d) demonstrates osseous destruction and obliteration of the right internal jugular vein (arrowheads). This was found to be metastatic adenocarcinoma of unknown primary

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